Jedidiah Johnson, PA-C
NPI 1689155673ActiveIndividual· Radiology, Diagnostic Radiology· Mesa, AZ
Radiology, Diagnostic Radiology (PA-C) with Sonoran Radiology Ltd, practicing in Mesa, Arizona. Medicare paid $47,578 for services to 420 patients in 2024. Penumbra, Inc. was the largest of 3 companies reporting payments in 2025, $393.68 in all, mostly food and beverage. Lists Banner Baywood Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1689155673 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 27, 2018 |
| Last updated in NPPES | Jan 30, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 7194 | AZ |
| Physician Assistant | 363A00000X | — | — |
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 | 420 |
|---|---|
| Services billed | 767 across 64 procedure codes |
| Paid by Medicare | $47,578 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Sonoran Radiology LtdTyler, TX · 475 clinicians
Hospital affiliations
- Banner Baywood Medical CenterMesa, AZ
- Banner Casa Grande Medical CenterCasa Grande, AZ
- Banner Desert Medical CenterMesa, AZ
- Banner Ironwood Medical CenterQueen Creek, AZ
- Banner Ocotillo Medical CenterChandler, AZ
Industry payments (Open Payments)
- 2025$393.68 · 4 payments from 3 companies
- 2024$296.97 · 5 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Penumbra, Inc. | $248.31 | 2 |
| Shockwave Medical, Inc | $97.02 | 1 |
| Stryker Corporation | $48.35 | 1 |
What the 2025 payments were for
- Food and Beverage$393.68 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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