JEREMY GANZ PA
NPI 1053805671
Physician Assistant in Clovis, NM

Active since June 18, 2018PECOS Enrolled
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408, CLOVIS, NM 88103(314) 226-8463 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2023, Jun 10, 2021, Apr 2, 2021 and 1 more (4 updates tracked since 2018).

About Jeremy Ganz Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY GANZ PA (NPI 1053805671) is an individual physician assistant in Clovis, New Mexico and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053805671
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEREMY GANZCredential: PA
Location Address27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408Clovis, NM 88103
Mailing Address27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408Cannon Afb, NM 88103
Sole ProprietorNo
Enumeration DateJune 18, 2018
Last NPPES UpdateJanuary 22, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2024
NPI 1053805671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
27TH SPECIAL OPERATIONS MEDICAL GROUP, Clovis, NM 88103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeremy Ganz Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Psychologist
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Nurse Practitioner (Primary Care)
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D.L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Social Worker (Clinical)
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W.D.LINGRAM AVE. BLDG 1408
CANNON AFB, NM 88103
Military Health Care Provider
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Pharmacist
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Optometrist
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D.L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Physical Therapist (Orthopedic)
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Ganz's NPI number?

The NPI number for Jeremy Ganz is 1053805671. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Jeremy Ganz located?

Jeremy Ganz practices at 27th Special Operations Medical Group 224 W D. L. Ingram Avenue, Bldg. 1408, Clovis, NM 88103. The listed phone number is (314) 226-8463.

What is Jeremy Ganz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jeremy Ganz enrolled in Medicare?

Yes. Jeremy Ganz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Ganz was last updated on January 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.