Kyle Jervis, PA-C
NPI 1053846659ActiveIndividual· Physician Assistant· Goodyear, AZ
Physician Assistant (PA-C) in Goodyear, Arizona, licensed in AZ and MD, with an NPI issued in April 2017. 178 Medicare patients in 2024, $19,925 paid; nearly all of their 205 Part D prescriptions were generic (94%).
Overview
| NPI | 1053846659 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 21, 2017 |
| Last updated in NPPES | Jun 9, 2023 |
| Certified by provider | Jun 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 7195 | AZ |
| Physician Assistant | 363A00000X | C06468 | MD |
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 | 178 |
|---|---|
| Services billed | 248 across 24 procedure codes |
| Paid by Medicare | $19,925 |
Part D prescriptions in 2024
| Prescriptions (claims) | 205 · 205 30-day fills |
|---|---|
| Patients | 136 |
| Total drug cost | $4,848 |
| Generic share | 94% of claims |
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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All 59 physician assistants in Goodyear · All physician assistants in Arizona