Jody Lee Sanderson, PA-C
NPI 1164490579ActiveIndividual· Physician Assistant, Medical· Phoenix, AZ
Physician Assistant, Medical (PA-C) with Smi Imaging LLC, practicing in Phoenix, Arizona. Medicare paid $57,799 for services to 1,296 patients in 2024. Boston Scientific Corporation reported $18.60 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1164490579 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 10, 2006 |
| Last updated in NPPES | Jul 29, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 2580 | AZ |
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); Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,296 |
|---|---|
| Services billed | 8,822 across 35 procedure codes |
| Paid by Medicare | $57,799 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Smi Imaging LLCBeverly Hills, CA · 384 clinicians
Industry payments (Open Payments)
- 2025$18.60 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $18.60 | 1 |
What the 2025 payments were for
- Food and Beverage$18.60 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 252 physician assistants in Phoenix · All physician assistants in Arizona