DR. KRISTOPHER P JERRY DPM
NPI 1063861979
Podiatrist - Foot & Ankle Surgery in Port St Lucie, FL

Q: What is Kristopher Jerry's NPI number?

The NPI number for Kristopher Jerry is 1063861979. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Q: What is Kristopher Jerry's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Kristopher Jerry was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 10, 2016PECOS EnrolledAccepts Medicare Assignment

7.5/100

CMS Quality Rating

1846 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 301-1951(772) 934-7297 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2022, Feb 24, 2020, Aug 30, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Kristopher P Jerry Dpm NPPES

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

DR. KRISTOPHER P JERRY DPM (NPI 1063861979) is an individual foot & ankle surgery provider in Port St Lucie, Florida, licensed in Florida (PO3941) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of New York College Of Podiatric Medicine (2016).

NPPES Registry Identity

NPI1063861979

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. KRISTOPHER P JERRYCredential: DPM

Location Address1846 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5545

Mailing Address1846 Se Port St Lucie BlvdPort St Lucie, FL 34952-5545 · (772) 301-1951 · Fax (772) 934-7297

Phone(772) 301-1951

Fax(772) 934-7297

Sole ProprietorNo

Medical School CMSNew York College Of Podiatric MedicineGraduated 2016

Enumeration DateJune 10, 2016

Last NPPES UpdateSeptember 19, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2022

✔ NPI 1063861979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in FL · PO3941

1846 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952

Open in Google Maps ↗

Secondary Practice Locations 3

Location 15700 Stirling Rd Ste 100Hollywood, FL 33021-1522 · Phone (772) 301-1951

Location 2721 Colorado AveStuart, FL 34994-3017 · Phone (772) 301-1951

Location 39950 Stirling Rd Ste 108Hollywood, FL 33024-8001 · Phone (954) 869-4848

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kristopher P Jerry Dpm 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 ID8527391903

PECOS Enrollment IDI20190618001861

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.

Medicare Billing Reassignment

Medicare enrollment records show Kristopher Jerry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Podiatry Health Services LLC

Same address

Foot & Ankle Surgery

1846 SE PORT ST LUCIE BLVD
Port St Lucie, FL 34952

Reassigned Medicare billing, Florida enrollment
4 clinicians in this Medicare group

NPI 1700441342 (772) 301-1951

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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 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.

393 services173 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

180 services74 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

168 services65 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

151 services94 patients

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.

134 services91 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

120 services120 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

60 services13 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

60 services13 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

45 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

45 services45 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

21 services17 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

16 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

7.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

1 supplier15 claims16 services$228.98 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

PODIATRY HEALTH SERVICES LLC

Podiatrist (Foot & Ankle Surgery)

1846 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952

St. Lucie County (772) 301-1951

ADAM GREENBERG M D P A

Internal Medicine

1846 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952

St. Lucie County (772) 337-0044

DR. MILTON ANGEL ROSARIO DPM

Podiatrist (Foot & Ankle Surgery)

1846 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952

St. Lucie County (772) 301-1951

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 Kristopher Jerry's NPI number?

The NPI number for Kristopher Jerry is 1063861979. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Where is Kristopher Jerry located?

Kristopher Jerry practices at 1846 SE Port St Lucie Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 301-1951.

What is Kristopher Jerry's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kristopher Jerry enrolled in Medicare?

Yes. Kristopher Jerry 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.

Which organization bills Medicare for Kristopher Jerry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristopher Jerry reassigns Medicare benefits to Podiatry Health Services LLC (Port St Lucie, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristopher Jerry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristopher Jerry accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 5 other insurers list Kristopher Jerry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristopher Jerry was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.