Julia Jefka , PA-C
Physician Assistant โข Berlin, VT
130 Fisher Rd
Berlin, VT 056029516
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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NPI assigned on January 15, 2019; this date does not establish years in practice.
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Published CMS data list 262 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:
- 99213 โ Established patient outpatient office visit: 216 service units.
- 99214 โ Established patient outpatient office visit: 21 service units.
- 99212 โ Established patient outpatient office visit: 13 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 all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 198 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:
- Cephalexin โ 37 prescription fills, including refills.
- Doxycycline Hyclate โ 29 prescription fills, including refills.
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) โ 25 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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More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Berlin, VT (2024, 14 clinicians with data). Median for this group: 154. Middle half: 86 to 439.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Vermont (2024, 185 clinicians with data). Median for this group: 212. Middle half: 96 to 441.
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 59 in 2022 to 262 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2024.
Practice Location & Contact Primary Location
130 Fisher Rd
Berlin, VT 056029516
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: Central Vermont Medical Center 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
2019
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
265 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 $14,324 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 $9,212 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
198 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
$1,311 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
7 years (graduated 2019)
CMS Doctors and Clinicians data list 2019 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
2019
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
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.
Enrolled in Medicare (PECOS)
Julia Jefka 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 Julia Jefka 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 Berlin and Vermont
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Berlin, VT (2024, 14 clinicians with data). Median for this group: 154. Middle half: 86 to 439.
Close to the middle for clinicians listed under Physician Assistant in Vermont (2024, 185 clinicians with data). Median for this group: 212. Middle half: 96 to 441.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Berlin, VT (2024, 14 clinicians with data). Median for this group: $13,373. Middle half: $6,845 to $31,115.
Close to the middle for clinicians listed under Physician Assistant in Vermont (2024, 185 clinicians with data). Median for this group: $13,366. Middle half: $5,084 to $31,851.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Berlin, VT (2024, 14 clinicians with data). Median for this group: $8,862. Middle half: $5,061 to $23,174.
Close to the middle for clinicians listed under Physician Assistant in Vermont (2024, 185 clinicians with data). Median for this group: $8,970. Middle half: $3,864 to $23,043.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Berlin, VT (2024, 12 clinicians with data). Median for this group: 106. Middle half: 70 to 218.
Close to the middle for clinicians listed under Physician Assistant in Vermont (2024, 189 clinicians with data). Median for this group: 238. Middle half: 72 to 1,022.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Berlin, VT (2024, 12 clinicians with data). Median for this group: $942. Middle half: $412 to $6,154.
A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Vermont (2024, 189 clinicians with data). Median for this group: $4,008. Middle half: $557 to $91,661.
17 active clinicians are listed under Physician Assistant with a practice address in Berlin, VT (321 in Vermont).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Berlin
11.8% of these 17 clinicians have the CMS telehealth indicator.
64.7% of these 17 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 increased 344% from 59 in 2022 to 262 in 2024.
- 2022: 59
- 2023: 283
- 2024: 262
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Medicare-allowed amount
Medicare-allowed amount increased 283% from $3,744 in 2022 to $14,324 in 2024.
- 2022: $3,744
- 2023: $17,805
- 2024: $14,324
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Paid by Medicare
Paid by Medicare increased 249% from $2,639 in 2022 to $9,212 in 2024.
- 2022: $2,639
- 2023: $11,526
- 2024: $9,212
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 560% from 30 in 2020 to 198 in 2024.
- 2020: 30
- 2021: 163
- 2022: 11
- 2023: 136
- 2024: 198
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30-day fills
30-day fills increased 560% from 30 in 2020 to 198 in 2024.
- 2020: 30
- 2021: 234
- 2022: 11
- 2023: 139
- 2024: 198
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Part D drug cost
Part D drug cost went from $314 in 2020 to $1,311 in 2024.
- 2020: $314
- 2021: $2,057
- 2022: $88
- 2023: $1,581
- 2024: $1,311
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 2021โ2023 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, 2022โ2024; 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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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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216 | 211 | $105.81 | $53.32 |
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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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21 | 21 | $237.70 | $78.49 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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13 | 13 | $62.77 | $28.36 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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12 | 12 | $229.12 | $65.84 |
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 |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 37 | 217 | $157.43 | 37 |
| Doxycycline Hyclate | Doxycycline Hyclate | 29 | 201 | $200.73 | 28 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 25 | 151 | $137.04 | 25 |
| Fluticasone Propionate | Fluticasone Propionate | 22 | 660 | $165.94 | 21 |
| Prednisone | Prednisone | 20 | 156 | $45.80 | 20 |
| Amoxicillin | Amoxicillin | 20 | 141 | $65.68 | 17 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 20 | 460 | $429.46 | 17 |
| Azithromycin | Azithromycin | 14 | 70 | $39.63 | 14 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 11 | 147 | $69.23 | 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: 2021-11-15NUCC 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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20220425001520
VT
1153718002
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
Central Vermont Medical Center Inc
82 E View Lane, Berlin, VT 05602
Phone: 8022251266
Central Vermont Medical Center Inc
1311 Barre Montpelier Rd, Berlin, VT 05602
Central Vermont Medical Center Inc
1311 Barre Montpelier Road, Berlin, VT 05602
Phone: 8022253970
Central Vermont Medical Center Inc
246 Granger Rd, Berlin, VT 05602
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Nurse Practitioner - Family
Nurse Practitioner
Emergency Medicine
Doctor of Medicine (M.D.)
Internal Medicine - Pulmonary Disease
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 130 FISHER RD, BERLIN, VT 056029516 (Tel: 8023714100)
Registered at 130 FISHER RD, BERLIN, VT 056029516 (Tel: 8023714100)
Physician Assistant (license number reported to NPPES: NH 1592)
Registered at 6 TSIENNETO RD, SUITE 300, DERRY, NH 03038 (Tel: 6032160400)
Registered at 6 TSIENNETO RD, SUITE 300, DERRY, NH 03038 (Tel: 6032160400)
Recorded as JULIA JEFKA, PA-C
NPI status registered as active in NPPES database
Registered at 61 DUNNS BRIDGE LN, DOVER, NH 038204479 (Tel: 8023100619)
Registered at 61 DUNNS BRIDGE LN, DOVER, NH 038204479
Recorded as JULIA JEFKA
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Berlin
- Jacqueline Gallagher, PA
- Michael Shaw
- Rosanna Woodard, PA-C
- Leah St. Martin, PA-C
- Justine Gadd, PA
- Irene Chamberlain, PA
Mailing Address
130 Fisher Rd
Berlin, VT 056029516
Phone: 8023714100