DR. JERRY VARGHESE THUTHIKATTU JOHN MD
NPI 1053920504
Family Medicine in Jamestown, NY

Active since July 29, 2020PECOS EnrolledAccepts Medicare Assignment
15 S MAIN ST STE 150, JAMESTOWN, NY 14701(716) 483-6700(716) 664-7275 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2023, Nov 24, 2020, Jul 29, 2020 (3 updates tracked since 2020).

About Dr. Jerry Varghese Thuthikattu John Md NPPES

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

DR. JERRY VARGHESE THUTHIKATTU JOHN MD (NPI 1053920504) is an individual family medicine provider in Jamestown, New York, licensed in New York (325117) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Upmc Chautauqua At Wca, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053920504
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JERRY VARGHESE THUTHIKATTU JOHNCredential: MD
Location Address15 S MAIN ST STE 150Jamestown, NY 14701-6627
Mailing Address2400 W Villard AveMilwaukee, WI 53209-4901 · (414) 527-8191
Fax(716) 664-7275
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 29, 2020
Last NPPES UpdateAugust 3, 20233 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
NPI 1053920504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NY · 325117 Licensed in WI · 77253-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15 S MAIN ST STE 150, Jamestown, NY 14701

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jerry Varghese Thuthikattu John Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012361553
PECOS Enrollment IDI20231002002405
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
350 services162 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
89 services89 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services40 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services39 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
24 services24 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
24 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330239
Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14701 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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 9

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

Non-Pharmacy Dispensing Site
15 S MAIN ST STE 150
JAMESTOWN, NY 14701
Family Medicine
15 S MAIN ST STE 150
JAMESTOWN, NY 14701
Internal Medicine
15 S MAIN ST STE 150
JAMESTOWN, NY 14701
Nurse Practitioner (Family)
15 S MAIN ST STE 150
JAMESTOWN, NY 14701
Physician Assistant (Medical)
15 S MAIN ST STE 150
JAMESTOWN, NY 14701
Physician Assistant
15 S MAIN ST STE 150
JAMESTOWN, NY 14701
Internal Medicine
15 S MAIN ST STE 150
JAMESTOWN, NY 14701
Nurse Practitioner (Family)
15 S MAIN ST STE 150
JAMESTOWN, NY 14701

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 Jerry John's NPI number?

The NPI number for Jerry John is 1053920504. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Where is Jerry John located?

Jerry John practices at 15 S Main St Ste 150, Jamestown, NY 14701. The listed phone number is (716) 483-6700.

What is Jerry John's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jerry John enrolled in Medicare?

Yes. Jerry John is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jerry John affiliated with any hospitals?

According to CMS data, Jerry John is affiliated with Upmc Chautauqua At Wca.

When was this NPI record last updated?

The NPPES record for Jerry John was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.