Macy Jo Jernigan, PA
NPI 1003587809ActiveIndividual· Physician Assistant, Surgical· Sun City, AZ
Physician Assistant, Surgical (PA) with Banner Cancer Center Specialists LLC, practicing in Sun City, Arizona. Their prescriptions cost Medicare Part D more than their services did: $11,020 for 76 claims, against $6,971 paid for services in 2024. Lists Banner Boswell Medical Center as a hospital affiliation.
Overview
| NPI | 1003587809 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 22, 2021 |
| Last updated in NPPES | Dec 16, 2025 |
| Certified by provider | Dec 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 80 across 35 procedure codes |
| Paid by Medicare | $6,971 |
Part D prescriptions in 2024
| Prescriptions (claims) | 76 · 100 30-day fills |
|---|---|
| Patients | 48 |
| Total drug cost | $11,020 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Banner Cancer Center Specialists LLCGilbert, AZ · 344 clinicians
Hospital affiliation
- Banner Boswell Medical CenterSun City, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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