Jason Mayberry, PAC
NPI 1255403861ActiveIndividual· Physician Assistant, Surgical· Spokane, WA
Physician Assistant, Surgical (PAC) with Providence Health and Services-Wa, practicing in Spokane, Washington. 25 Medicare patients in 2024, $3,553 paid; nearly all of their 123 Part D prescriptions were generic (96%). Medtronic, Inc. was the largest of 3 companies reporting payments in 2025, $365.17 in all, mostly food and beverage. Lists Prov Sacred Hrt Med Ctr & Childs Hosp. and 1 other hospital as hospital affiliations.
Overview
| NPI | 1255403861 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Nov 15, 2006 |
| Last updated in NPPES | Jun 17, 2021 |
| Certified by provider | Jun 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA60698165 | WA |
| Physician Assistant | 363A00000X | PA19289 | CA |
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 (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 51 across 20 procedure codes |
| Paid by Medicare | $3,553 |
Part D prescriptions in 2024
| Prescriptions (claims) | 123 · 126 30-day fills |
|---|---|
| Patients | 35 |
| Total drug cost | $1,229 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Providence Health and Services-WaSpokane, WA · 24 clinicians
Hospital affiliations
- Prov Sacred Hrt Med Ctr & Childs Hosp.Spokane, WA
- Providence Holy Family HospitalSpokane, WA
Industry payments (Open Payments)
- 2025$365.17 · 3 payments from 3 companies
- 2024$17.83 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $144.32 | 1 |
| Actelion Pharmaceuticals US, Inc. | $128.05 | 1 |
| Sawtooth Surgical Solutions Inc | $92.80 | 1 |
What the 2025 payments were for
- Food and Beverage$365.17 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other surgical physician assistants in Spokane
- 1013981562
- 1033264056
- 1073682464
- 1275998114
- 1295137578
- 1356315808
- 1376878447
- 1396714531
- 1467145284
- 1578562815
- 1659689768
- 1720361405
All 34 surgical physician assistants in Spokane · All surgical physician assistants in Washington