JERRY UGBO PA-C
NPI 1295613388
Physician Assistant in Medford, OR

Q: What is Jerry Ugbo's NPI number?

The NPI number for Jerry Ugbo is 1295613388. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Q: What is Jerry Ugbo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jerry Ugbo was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 August 26, 2025PECOS EnrolledAccepts Medicare Assignment

691 MURPHY RD STE 107, MEDFORD, OR 97504(541) 789-6460(541) 789-6461 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jerry Ugbo Pa-c NPPES

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

JERRY UGBO PA-C (NPI 1295613388) is an individual physician assistant in Medford, Oregon, licensed in Oregon (PA228396) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS, is affiliated with Asante Rogue Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1295613388

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJERRY UGBOCredential: PA-C

Location Address691 MURPHY RD STE 107Medford, OR 97504-4311

Mailing Address2825 E Barnett Rd # MssMedford, OR 97504-8332 · (541) 789-4200

Phone(541) 789-6460

Fax(541) 789-6461

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 26, 2025

Last NPPES UpdateDecember 9, 2025

NPPES CertifiedDecember 9, 2025

✔ NPI 1295613388 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 OR · PA228396

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.

691 MURPHY RD STE 107, Medford, OR 97504

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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

Jerry Ugbo Pa-c 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 ID4981199510

PECOS Enrollment IDI20251222000708

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.

Hospital Affiliations CMS Care Compare

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

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380018

Location2825 E Barnett RoadMedford, OR 97504 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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 14

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

DR. JENNIFER TEMITOPE JEBODA MD

Family Medicine