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Jo Bayliss Devivo, PA-C

NPI 1992581532ActiveIndividual· Physician Assistant· Frederick, MD

Physician Assistant (PA-C) in Frederick, Maryland, licensed in VA, with an NPI issued in September 2023. 362 Medicare patients in 2024, $36,678 paid; nearly all of their 381 Part D prescriptions were generic (95%).

Overview

NPI1992581532
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedSep 7, 2023
Last updated in NPPESMar 1, 2024
Certified by providerMar 1, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X0110009528VA

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 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients362
Services billed692 across 16 procedure codes
Paid by Medicare$36,678

Part D prescriptions in 2024

Prescriptions (claims)381 · 558 30-day fills
Patients163
Total drug cost$10,908
Generic share95% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other Physician Assistant providers in Frederick

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