Active NPI 1609893676 Individual Practitioner Female Practitioner

Jerri Bradshaw , PA-C

Physician Assistant • Lone Grove, OK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jerri Bradshaw, PA-C is a certified Physician Assistant practicing in Lone Grove, OK. With approximately 22 years of clinical experience since completing medical education in 2004, Jerri Bradshaw delivers high-quality medical care to the local community at 16370 US HIGHWAY 70.

Jerri Bradshaw is affiliated with Mercy Clinic Oklahoma Communities and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16370 Us Highway 70

Lone Grove, OK 734436535

Telephone 5802242862

Fax 5802242863

Associated Practice Facility / Clinic

🏢 Mercy Hospitals East Communities Facility NPI 1427098169

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lone Grove, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs Matches City Avg

City Avg: 22.0 Yrs

State Avg: 14.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Lone Grove, OK (1911 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

53.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bradshaw (22 Years) 22 Yrs

Lone Grove Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	480	275	$183.90	$99.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	154	154	$311.00	$101.84
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	148	118	$37.00	$13.13
36415 Insertion of needle into vein for collection of blood sample	76	67	$14.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	65	60	$129.00	$70.78
G0008 Administration of influenza virus vaccine	59	57	$41.00	$30.07
90662 Influenza vaccine split virus, preservative free	50	49	$95.00	$79.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	26	$257.00	$138.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$260.00	$126.29
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	22	$136.00	$41.86
71046 X-ray of chest, 2 views	18	16	$44.00	$20.04
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	17	11	$103.00	$32.53
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$307.00	$129.82
81003 Automated urinalysis test	12	12	$13.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	507	296	$184.00	$101.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	168	168	$311.00	$104.30
G0008 Administration of influenza virus vaccine	76	74	$41.00	$28.68
99213 Established patient office or other outpatient visit, typically 15 minutes	75	68	$129.00	$71.91
90662 Influenza vaccine split virus, preservative free	71	70	$94.66	$71.74
G0009 Administration of pneumococcal vaccine	42	42	$41.00	$28.68
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	42	42	$529.00	$281.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	11	$46.00	$11.28
71046 X-ray of chest, 2 views	28	26	$44.00	$20.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$260.00	$134.23
81003 Automated urinalysis test	17	14	$13.00	$2.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$257.00	$144.46
77080 Dxa bone density measurement of hip, pelvis, spine	11	11	$115.73	$27.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	368	291	$183.93	$102.33
99213 Established patient office or other outpatient visit, typically 15 minutes	363	284	$129.00	$72.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	93	93	$264.71	$104.25
G0008 Administration of influenza virus vaccine	64	61	$41.00	$27.17
81003 Automated urinalysis test	61	59	$13.00	$2.22
90662 Influenza vaccine split virus, preservative free	61	58	$88.90	$68.38
J1100 Injection, dexamethasone sodium phosphate, 1 mg	52	12	$1.00	$0.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	12	$5.00	$1.10
71046 X-ray of chest, 2 views	42	40	$44.00	$20.65
G0009 Administration of pneumococcal vaccine	34	34	$41.00	$27.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	15	$46.00	$11.30
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	31	31	$529.00	$278.05
87430 Detection test by immunoassay technique for streptococcus, group a (strep)	27	23	$34.00	$16.72
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	26	24	$105.12	$30.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$170.00	$89.44
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$82.00	$26.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	225	189	$129.00	$73.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	101	$184.00	$103.93
81003 Automated urinalysis test	39	34	$13.00	$2.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$206.00	$106.47
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	28	28	$105.00	$73.49
G0008 Administration of influenza virus vaccine	25	25	$41.00	$15.73
90662 Influenza vaccine split virus, preservative free	24	24	$87.00	$65.26
71046 X-ray of chest, 2 views	17	17	$44.00	$20.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	11	$46.00	$11.29
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	12	12	$57.58	$36.94

Medical Specialties & State Licenses

CMS Verified: 2026-03-13

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 1402

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200076780 (OK)

Hospital & Practice Group Affiliations

Mercy Clinic Oklahoma Communities

4300 Mcauley Blvd, Oklahoma City, OK 731208302

Phone: 4059365455

Mercy Clinic Oklahoma Communities

4300 W Memorial Rd, Oklahoma City, OK 731208304

Phone: 4057551515

Mercy Clinic Oklahoma Communities

1020 N Commerce St, Ardmore, OK 734013920

Phone: 5802235311

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 13, 2026

Registered at 16370 US HIGHWAY 70, LONE GROVE, OK 734436535 (Tel: 5802242862)

📍

Updated Business Mailing Address March 13, 2026

Registered at PO BOX 776084, CHICAGO, IL 606776084

✅

NPI Profile Active March 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 22, 2016

Registered at 1306 12TH AVE NW, ARDMORE, OK 734011285 (Tel: 5802236003)

📍

Updated Business Mailing Address March 22, 2016

Registered at 3776 DOGWOOD RD, ARDMORE, OK 734017953 (Tel: 5803024447)

👤

Provider Name / Credentials Updated March 22, 2016

Recorded as JERRI BRADSHAW, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2016

Physician Assistant (License #1402 in OK)

🟢

Initial NPI Registration & Enumeration July 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609893676

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 16, 2006

Last Update: March 13, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 776084

Chicago, IL 606776084

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.