Jerry Priddy, PA-C
NPI 1003351115ActiveIndividual· Physician Assistant· Springfield, IL
Physician Assistant (PA-C) with Siu Physicians and Surgeons Inc, practicing in Springfield, Illinois. Mostly services rather than prescriptions: Medicare paid $6,495 for 73 patients in 2024, with only 24 Part D claims. Abiomed reported $100.66 in payments in 2025, mostly food and beverage. Lists Memorial Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1003351115 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 28, 2016 |
| Last updated in NPPES | Dec 18, 2024 |
| Certified by provider | Dec 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 085006117 | IL |
| Physician Assistant, Surgical | 363AS0400X | 085006117 | IL |
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 - Physician Assistant (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 73 |
|---|---|
| Services billed | 116 across 15 procedure codes |
| Paid by Medicare | $6,495 |
Part D prescriptions in 2024
| Prescriptions (claims) | 24 · 24 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $397.05 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Siu Physicians and Surgeons IncSpringfield, IL · 314 clinicians
Hospital affiliations
- Memorial Medical CenterSpringfield, IL
- St Johns HospitalSpringfield, IL
Industry payments (Open Payments)
- 2025$100.66 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abiomed | $100.66 | 1 |
What the 2025 payments were for
- Food and Beverage$100.66 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Springfield
- 1053387779
- 1831672674
- 1588643902
- 1669706057
- 1508557109
- 1295251239
- 1265788632
- 1578664801
- 1477062404
- 1336921790
- 1891165809
- 1548974686