Jake Sides
NPI 1003279662ActiveIndividual· Surgery· Bristol, TN
Surgery with Wps Providers Inc, practicing in Bristol, Tennessee. In 2024 Medicare paid $78,981 for 237 patients, and Part D covered 245 of their prescriptions, 85% of them generic. Medtronic, Inc. was the largest of 5 companies reporting payments in 2025, $122.22 in all, mostly food and beverage. Lists Johnston Memorial Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1003279662 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 31, 2016 |
| Last updated in NPPES | Jul 3, 2024 |
| Certified by provider | Jul 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 63286 | TN |
| Surgery | 208600000X | 0101275797 | VA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (TN); Practitioner - General Surgery (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 237 |
|---|---|
| Services billed | 578 across 94 procedure codes |
| Paid by Medicare | $78,981 |
Part D prescriptions in 2024
| Prescriptions (claims) | 245 · 276 30-day fills |
|---|---|
| Patients | 129 |
| Total drug cost | $8,352 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | General Surgery |
Medical group
- Wps Providers IncJohnson City, TN · 85 clinicians
Hospital affiliations
- Johnston Memorial HospitalAbingdon, VA
- Russell County HospitalLebanon, VA
- Smyth County Community HospitalMarion, VA
- Wellmont Bristol Regional Medical CenterBristol, TN
Industry payments (Open Payments)
- 2025$122.22 · 5 payments from 5 companies
- 2024$1,485 · 12 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $35.58 | 1 |
| Elucent Medical | $31.09 | 1 |
| Hologic Sales and Service, LLC | $25.05 | 1 |
| W. L. Gore & Associates, Inc. | $17.01 | 1 |
| Clinical Technology, Inc | $13.49 | 1 |
What the 2025 payments were for
- Food and Beverage$122.22 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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