John R. Cercado, PA
NPI 1497940407ActiveIndividual· Physician Assistant· Modesto, CA
Physician Assistant (PA) with Stat Med PC A California Medical Professional Corporation and 1 other group, practicing in Modesto, California. Mostly services rather than prescriptions: Medicare paid $3,468 for 24 patients in 2024, with only 43 Part D claims.
Overview
| NPI | 1497940407 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 12, 2007 |
| Last updated in NPPES | Nov 8, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA16210 | CA |
| Nurse Practitioner | 363L00000X | 13918 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 42 across 11 procedure codes |
| Paid by Medicare | $3,468 |
Part D prescriptions in 2024
| Prescriptions (claims) | 43 · 44 30-day fills |
|---|---|
| Patients | 36 |
| Total drug cost | $200.98 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Stat Med PC A California Medical Professional CorporationConcord, CA · 16 clinicians
- Abidali Professional Medical IncModesto, CA · 9 clinicians
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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