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Krystal Marie Thayer , PA-C

Physician Assistant • Jackson, OH

Active NPI 1821517574 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

500 Burlington Rd
Jackson, OH 456409360

Call 7402884625 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

500 Burlington Rd

Jackson, OH 456409360

Telephone 7402884625
Organization at the Same NPPES Address or Phone
Holzer Medical Center Jackson Facility NPI 1669410940

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Healthone Carenow Urgent Care Llc. 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

Graduation Year

2017

Medicare patients

131 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $14,572 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.

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 – by Provider and Service, 2024.

Paid by Medicare

About $10,325 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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 – by Provider and Service, 2024.

30-day fills

109 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

$776 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional 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

2017

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.

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, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Krystal Thayer 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Krystal Thayer 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: 169. Middle half: 67 to 400.

Too few clinicians listed under Physician Assistant in Jackson have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: $13,051. Middle half: $5,335 to $26,160.

Too few clinicians listed under Physician Assistant in Jackson have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: $9,581. Middle half: $3,849 to $19,099.

Too few clinicians listed under Physician Assistant in Jackson have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 65% of clinicians listed under Physician Assistant in Ohio (2024, 2,821 clinicians with data). Median for this group: 212. Middle half: 71 to 708.

Too few clinicians listed under Physician Assistant in Jackson have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 65% of clinicians listed under Physician Assistant in Ohio (2024, 2,821 clinicians with data). Median for this group: $2,158. Middle half: $495 to $43,005.

Too few clinicians listed under Physician Assistant in Jackson have Medicare Part D data for 2024 to compare.

2 active clinicians are listed under Physician Assistant with a practice address in Jackson, OH (5,329 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

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 · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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
99284 Emergency department visit with moderate level of medical decision making
76 69 $619.00 $99.49
99283 Emergency department visit with low level of medical decision making
46 40 $441.00 $58.46
99285 Emergency department visit with high level of medical decision making
30 27 $939.00 $144.06

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.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 18 158 $73.14 17
Prednisone Prednisone 14 104 $26.66 14
Azithromycin Azithromycin 14 59 $94.36 13
Ciprofloxacin Hcl Ciprofloxacin Hcl 14 116 $86.51 14
Cephalexin Cephalexin 13 92 $53.41 13
Ondansetron Odt Ondansetron 13 54 $114.50 12
Cefuroxime Cefuroxime Axetil 12 106 $255.39 12
Doxycycline Hyclate Doxycycline Hyclate 11 102 $72.29 11

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: 2020-11-05
Physician Assistant Primary Specialty

NUCC 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250806003517

Enrollment State Jurisdiction

CO

PECOS Control ID

5294091740

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Healthone Carenow Urgent Care Llc

7600 W Quincy Ave, Littleton, CO 801232403

Phone: 7204498062

Healthone Carenow Urgent Care Llc

5620 S Parker Rd, Aurora, CO 800151110

Phone: 7204465890

Healthone Carenow Urgent Care Llc

1405 E Evans Ave, Denver, CO 802104544

Phone: 7204498050

Healthone Carenow Urgent Care Llc

11339 S Pikes Peak Dr, Parker, CO 801387333

Phone: 7205884000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
April Johnson , CNP

Nurse Practitioner - Family

NPI 1043666969

Certified Nurse Practitioner

Milad Modarresi

Internal Medicine

NPI 1205367000

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
👤
Provider Name / Credentials Updated November 05, 2020

Recorded as KRYSTAL THAYER, PA-C

âś…
NPI Profile Active September 13, 2017

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) September 13, 2017

Registered at 500 BURLINGTON RD, JACKSON, OH 456409360 (Tel: 7402884625)

📍
Business Mailing Address (Initial Record) September 13, 2017

Registered at 759 STEWART AVE, STREETSBORO, OH 442414750 (Tel: 3302210267)

👤
Provider Name / Credentials (Initial Record) September 13, 2017

Recorded as KRYSTAL MACDOWELL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2017

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 13, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1821517574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2017
Last Update: November 05, 2020
Sole Proprietor: No

Mailing Address

759 Stewart Ave

Streetsboro, OH 442414750

Phone: 3302210267

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.