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JASON ALLEN FONDRICK PA-C
NPI 1639621758
Physician Assistant in Beaumont, TX

Active since October 25, 2016PECOS Enrolled
3030 NORTH ST STE 430, BEAUMONT, TX 77702(409) 899-2500 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jason Allen Fondrick Pa-c NPPES

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

JASON ALLEN FONDRICK PA-C (NPI 1639621758) is an individual physician assistant in Beaumont, Texas, licensed in Texas (PA10809) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639621758
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJASON ALLEN FONDRICKCredential: PA-C
Location Address3030 NORTH ST STE 430Beaumont, TX 77702-1434
Mailing Address3030 North St Ste 430Beaumont, TX 77702-1434 · (409) 899-2500
Phone(409) 899-2500
Sole ProprietorNo
Enumeration DateOctober 25, 2016
Last NPPES UpdateDecember 7, 2016
✔ NPI 1639621758 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 TX · PA10809
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.
3030 NORTH ST STE 430, Beaumont, TX 77702
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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 (PECOS)

Jason Allen Fondrick Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 77702 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
$83.80 typical visit price
range $54.04 – $164.93
Typical copayment $20.95 (range $13.51 – $41.23)
Most-billed visit code 99203
Established Patient
$67.64 typical visit price
range $17.17 – $134.47
Typical copayment $16.91 (range $4.29 – $33.61)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims25 services$4.74 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims2,860 services$0.02 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers15 claims15 services$19.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jason Fondrick's NPI number?

The NPI number for Jason Fondrick is 1639621758. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Where is Jason Fondrick located?

Jason Fondrick practices at 3030 North St Ste 430, Beaumont, TX 77702. The listed phone number is (409) 899-2500.

What is Jason Fondrick's specialty?

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

Is Jason Fondrick enrolled in Medicare?

Yes. Jason Fondrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Fondrick was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.