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Jerry Varghese Thuthikattu John, MD

NPI 1053920504ActiveIndividual· Family Medicine· Jamestown, NY

Family Medicine (MD) with Great Lakes Physician Practice PC, practicing in Jamestown, New York. Their prescriptions cost Medicare Part D more than their services did: $756,174 for 7,090 claims, against $66,500 paid for services in 2024. Lists Upmc Chautauqua at Wca as a hospital affiliation.

Overview

NPI1053920504
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJul 29, 2020
Last updated in NPPESAug 3, 2023
Certified by providerAug 3, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X325117NY
Family Medicine207Q00000X77253-20WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients185
Services billed1,155 across 41 procedure codes
Paid by Medicare$66,500

Part D prescriptions in 2024

Prescriptions (claims)7,090 · 16,466 30-day fills
Patients587
Total drug cost$756,174
Generic share86% of claims

Medicare sources and data years

Education and affiliations

Graduation year2019
Medicare specialtyFamily Practice

Medical group

Hospital affiliation

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other family medicine physicians in Jamestown

All 30 family medicine physicians in Jamestown · All family medicine physicians in New York