Jessica Breen Sheth , PA-C
Physician Assistant โข Fall River, MA
300 Hanover St Ste 1f
Fall River, MA 027205451
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Jessica Breen Sheth is listed in NPPES under Physician Assistant.
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NPI assigned on January 15, 2013; this date does not establish years in practice.
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Published CMS data list 331 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 190 service units.
- 99213 โ Established patient outpatient office visit: 141 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 767 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Ozempic (Semaglutide) โ 213 prescription fills, including refills.
- Metformin Hcl Er (Metformin Hcl) โ 143 prescription fills, including refills.
- Mounjaro (Tirzepatide) โ 142 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 9 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Fall River, MA (2024, 29 clinicians with data). Median for this group: 308. Middle half: 122 to 716.
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 956 in 2020 to 331 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
300 Hanover St Ste 1f
Fall River, MA 027205451
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Southcoast Physicians Group Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2012
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
139 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $33,680 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $24,728 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
1,006 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$603,483 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
14 years (graduated 2012)
CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2013
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Jessica Breen Sheth has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Jessica Breen Sheth as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Fall River and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant in Fall River, MA (2024, 29 clinicians with data). Median for this group: 308. Middle half: 122 to 716.
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Fall River, MA (2024, 29 clinicians with data). Median for this group: $26,410. Middle half: $12,427 to $48,469.
A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $19,073. Middle half: $6,686 to $39,911.
Paid by Medicare
A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Fall River, MA (2024, 29 clinicians with data). Median for this group: $21,349. Middle half: $9,562 to $38,333.
A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $14,188. Middle half: $5,025 to $29,930.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Fall River, MA (2024, 35 clinicians with data). Median for this group: 234. Middle half: 121 to 957.
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: 175. Middle half: 52 to 564.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Fall River, MA (2024, 35 clinicians with data). Median for this group: $7,097. Middle half: $747 to $92,454.
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: $2,484. Middle half: $458 to $50,541.
54 active clinicians are listed under Physician Assistant with a practice address in Fall River, MA (4,715 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Fall River
14.8% of these 54 clinicians have the CMS telehealth indicator.
51.9% of these 54 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 65% from 956 in 2020 to 331 in 2024.
- 2020: 956
- 2021: 889
- 2022: 345
- 2023: 199
- 2024: 331
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Medicare-allowed amount
Medicare-allowed amount decreased 37% from $53,756 in 2020 to $33,680 in 2024.
- 2020: $53,756
- 2021: $58,255
- 2022: $35,941
- 2023: $21,527
- 2024: $33,680
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Paid by Medicare
Paid by Medicare decreased 40% from $41,185 in 2020 to $24,728 in 2024.
- 2020: $41,185
- 2021: $43,019
- 2022: $25,854
- 2023: $13,595
- 2024: $24,728
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 80% from 3,774 in 2020 to 767 in 2024.
- 2020: 3,774
- 2021: 2,673
- 2022: 872
- 2023: 913
- 2024: 767
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30-day fills
30-day fills decreased 87% from 7,483 in 2020 to 1,006 in 2024.
- 2020: 7,483
- 2021: 5,498
- 2022: 1,428
- 2023: 1,215
- 2024: 1,006
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Part D drug cost
Part D drug cost increased 358% from $131,804 in 2020 to $603,483 in 2024.
- 2020: $131,804
- 2021: $134,882
- 2022: $486,383
- 2023: $772,849
- 2024: $603,483
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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190 | 103 | $395.62 | $115.52 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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141 | 87 | $281.59 | $83.20 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ozempic | Semaglutide | 213 | 7,082 | $229,153.84 | 48 |
| Metformin Hcl Er | Metformin Hcl | 143 | 8,400 | $1,469.91 | 55 |
| Mounjaro | Tirzepatide | 142 | 4,006 | $144,235.13 | 31 |
| Wegovy | Semaglutide | 126 | 3,544 | $169,972.68 | 39 |
| Trulicity | Dulaglutide | 47 | 1,712 | $56,709.28 | 19 |
| Topiramate | Topiramate | 36 | 1,934 | $296.64 | 13 |
| Bupropion Hcl Sr | Bupropion Hcl | 35 | 1,410 | $1,136.91 | 13 |
| Naltrexone Hcl | Naltrexone Hcl | 14 | 404 | $340.87 | โ |
| Metformin Hcl | Metformin Hcl | 11 | 690 | $167.80 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-06-03NUCC Taxonomy Code: 363A00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20130516000260
MA
6709023435
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Southcoast Physicians Group Inc
100 Rosebrook Way, Wareham, MA 025711138
Phone: 5082734900
Southcoast Physicians Group Inc
43 High St, Wareham, MA 025712097
Phone: 5089735919
Southcoast Physicians Group Inc
100 Rosebrook Way, Wareham, MA 025711138
Phone: 5082734950
Southcoast Physicians Group Inc
534 Prospect St, Fall River, MA 027205281
Phone: 5089737766
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Preventive Medicine - Obesity Medicine
Doctor of Medicine (M.D.)
Physician Assistant - Surgical
Preventive Medicine - Obesity Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner
Family Nurse Practitioner (Board Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 300 HANOVER ST STE 1F, FALL RIVER, MA 027205451 (Tel: 5089738611)
Physician Assistant (license number reported to NPPES: MA PA4619)
Registered at 500 FAUNCE CORNER RD, NORTH DARTMOUTH, MA 027471278 (Tel: 5089731230)
Registered at 4543 ACUSHNET AVE, NEW BEDFORD, MA 027454727 (Tel: 5089731230)
Registered at 200 MILL RD STE 180, FAIRHAVEN, MA 027195255 (Tel: 5089732000)
Recorded as JESSICA BREEN SHETH, PA-C
NPI status registered as active in NPPES database
Registered at 444 MONTGOMERY ST, CHICOPEE, MA 010201969 (Tel: 4135987091)
Registered at 444 MONTGOMERY ST, CHICOPEE, MA 010201969 (Tel: 4135987091)
Recorded as JESSICA BREEN, PA-C
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Fall River
- Sandra Alua, PA
- Kolleen Deandrade, PA-C
- Alexander Gimelberg, PA
- Victor Verkade, PA-C
- Richa Magan, PA-C
- Craig Baillie, PA-C
Mailing Address
200 Mill Rd Ste 180
Fairhaven, MA 027195255
Phone: 5089732000