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MR. KOREY JALEN WHITE PHYSICIAN ASSISTANT
NPI 1063183879
Physician Assistant in Boston, MA

Active since September 22, 2021PECOS EnrolledAccepts Medicare Assignment
55 FRUIT STREET WHITE 1, BOSTON, MA 02241(617) 724-4100(617) 726-7415 Get Directions Write a Review

NPPES record last updated: September 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2022, Sep 18, 2022, Sep 27, 2021 and 1 more (4 updates tracked since 2021).

About Mr. Korey Jalen White Physician Assistant NPPES

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

MR. KOREY JALEN WHITE PHYSICIAN ASSISTANT (NPI 1063183879) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA8972) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1063183879
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KOREY JALEN WHITECredential: PHYSICIAN ASSISTANT
Location Address55 FRUIT STREET WHITE 1Boston, MA 02241-5005
Mailing Address55 Fruit StBoston, MA 02114-2621 · (413) 530-5633
Phone(617) 724-4100
Fax(617) 726-7415
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 22, 2021
Last NPPES UpdateSeptember 25, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2022
✔ NPI 1063183879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA8972
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.
55 FRUIT STREET WHITE 1, Boston, MA 02241
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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

Mr. Korey Jalen White Physician Assistant 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 ID6507234416
PECOS Enrollment IDI20221128001511
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

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.

Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02241 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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 Korey White's NPI number?

The NPI number for Korey White is 1063183879. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Where is Korey White located?

Korey White practices at 55 Fruit Street White 1, Boston, MA 02241. The listed phone number is (617) 724-4100.

What is Korey White's specialty?

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

Is Korey White enrolled in Medicare?

Yes. Korey White 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 Korey White affiliated with any hospitals?

According to CMS data, Korey White is affiliated with Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Korey White was last updated on September 25, 2022. 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.