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

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: July 26, 2026.

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

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
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

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

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. 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.

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

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
Quality15
Improvement Activities0

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.

Podiatrist (Foot & Ankle Surgery)
1846 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Internal Medicine
1846 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Podiatrist (Foot & Ankle Surgery)
1846 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952

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.

What insurance does Kristopher Jerry accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 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 with the weekly NPPES data releases published by CMS.