Jake Defonzo, PA-C
Physician Assistant · Penn Wynne, PA
Jake Defonzo, PA-C is a physician assistant with a practice address in Penn Wynne, Pennsylvania, and NPI 1013502459, issued on Mar 8, 2021. Check the license (Pennsylvania MA066534, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jake Defonzo
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- MA066534 PA
026221-01 NY
Self-reported in NPPES; status is on the state search - Practice location
- 100 E Lancaster Ave, Penn Wynne, PA 19096
- Phone
- (484) 476-2000
- Enumerated
- Mar 8, 2021
- Record last updated
- Sep 1, 2025
- Medicare enrollment
- Enrolled (PECOS I20250821002798); may accept Medicare assignment
- Entity
- Type 1 · individual
Also registered at 100 E Lancaster Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Carly Garvin, DOStudent in an Organized Health Care Education/Training Program1992595730
- Jeanette Giovanetti, IBCLCSpecialist1851655583
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- Yasuhiko Kawaguchi, M.D.Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician1073452603
- Matthew Klein, MDUrology Physician1700680089
Verify Jake Defonzo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
Search for license MA066534Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
93% fewer Medicare Part D claims than the average physician assistant in 2024
54 Medicare Part D claims for 44 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
1 physician assistant records list a practice address in Penn Wynne
They are 1 of the 13 NPPES records with a practice address in Penn Wynne, and 8,020 physician assistant records in Pennsylvania.
Other physician assistant records in Pennsylvania
- Matthew AbadLansdowne, PA1720113350
- Ariane Abadi, PA-CPhiladelphia, PA1619641685
- Rama Abbireddy, PABethlehem, PA1912887555
- Marianne Abdalah, PASewickley, PA1346088473
- Donia Abdalla, MMSC, PA-CHarrisburg, PA1164376851
- Raneem Abdelaziz, PA-CQuakertown, PA1003764713
- Safiyya Abdul-Ghani, PAOaks, PA1689904161
- Lauren Abdul-Malak, PAAbington, PA1083196117
- Katherine Abel, PA-CSteelton, PA1972944437
- Mark Abel, PA-CSouth Abington Township, PA1710131610
Common questions
What is Jake Defonzo, PA-C's NPI number?
Jake Defonzo, PA-C's National Provider Identifier (NPI) is 1013502459, issued on Mar 8, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Jake Defonzo, PA-C located?
The NPPES record lists a practice address at 100 E Lancaster Ave, Penn Wynne, PA, 19096. Phone: (484) 476-2000. Providers update this record themselves, so call before visiting.
How can I verify Jake Defonzo, PA-C's license?
NPPES lists Pennsylvania license number MA066534, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.
How much does Jake Defonzo, PA-C prescribe under Medicare Part D?
In 2024, Jake Defonzo, PA-C had 54 Medicare Part D claims for 44 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Jake Defonzo, PA-C's MIPS final score?
The 2023 MIPS final score is 100 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.