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JEREMY WELLER PA-C
NPI 1497571590
Physician Assistant in Ithaca, NY

Active since November 23, 2024PECOS EnrolledAccepts Medicare Assignment
953 DANBY RD, ITHACA, NY 14850(607) 274-3011 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2026, Mar 25, 2025, Nov 23, 2024 (3 updates tracked since 2024).

About Jeremy Weller Pa-c NPPES

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

JEREMY WELLER PA-C (NPI 1497571590) is an individual physician assistant in Ithaca, New York, licensed in New York (033860) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Owego, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1497571590
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEREMY WELLERCredential: PA-C
Location Address953 DANBY RDIthaca, NY 14850-7000
Mailing Address953 Danby RdIthaca, NY 14850-7002 · (607) 274-3011
Phone(607) 274-3011
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 23, 2024
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1497571590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 033860
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
953 DANBY RD, Ithaca, NY 14850
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Secondary Practice Location 1

Location 142 W Main StOwego, NY 13827-1578 · Phone (607) 687-0350

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

Jeremy Weller 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 ID547736886
PECOS Enrollment IDI20260415002024
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

MADISON SWANHART
Specialist/Technologist (Athletic Trainer)
953 DANBY RD
ITHACA, NY 14850
Tompkins County (607) 793-6025
JENNIFER RYAN GORDON ATS
Student in an Organized Health Care Education/Training Program
953 DANBY RD
ITHACA, NY 14850
Tompkins County (802) 349-6881
GRACE WANG
Specialist/Technologist (Athletic Trainer)
953 DANBY RD
ITHACA, NY 14850
Tompkins County (607) 274-1456
JESSICA ANDERSON MS, ATC
Specialist/Technologist (Athletic Trainer)
953 DANBY RD
ITHACA, NY 14850
Tompkins County (607) 274-1976
KAILEY MARIN COLLINS ATC
Specialist/Technologist (Athletic Trainer)
953 DANBY RD
ITHACA, NY 14850
Tompkins County (845) 217-7027
HUNTER STUART
Specialist/Technologist (Athletic Trainer)
953 DANBY RD
ITHACA, NY 14850
Tompkins County (973) 270-4310
ALEX RUTH RABB
Specialist/Technologist (Athletic Trainer)
953 DANBY RD
ITHACA, NY 14850
Tompkins County (781) 686-7877
HOPE ANIMASHAUN
Physician Assistant
953 DANBY RD
ITHACA, NY 14850
Tompkins County (607) 274-3011

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 Jeremy Weller's NPI number?

The NPI number for Jeremy Weller is 1497571590. It was assigned to this individual provider in the NPPES registry on November 23, 2024.

Where is Jeremy Weller located?

Jeremy Weller practices at 953 Danby Rd, Ithaca, NY 14850. The listed phone number is (607) 274-3011.

What is Jeremy Weller's specialty?

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

Is Jeremy Weller enrolled in Medicare?

Yes. Jeremy Weller 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.

When was this NPI record last updated?

The NPPES record for Jeremy Weller was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.