Active NPI
Jerry Ugbo, PA-C
- Physician Assistant
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA228396
- Practice address
- 691 Murphy Rd Ste 107
Medford, OR 97504-4311 - Phone
- (541) 789-6460
- Fax
- (541) 789-6461
- NPI assigned
- Aug 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA228396 | OR | Primary |
Addresses
Primary practice location
691 Murphy Rd Ste 107
Medford, OR 97504-4311
Mailing address
2825 E Barnett Rd # MSS
Medford, OR 97504-8332
Phone (541) 789-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
625 SW Ramsey Ave
Suite a
Grants Pass, OR 97527-5808
Phone (541) 507-2290
691 Murphy Rd
Medford, OR 97504-4311
Hospital & facility affiliations
- Accentcare Home Health of Rogue Valley, LLC
- Asante Rogue Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA228396 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asante Physician Partners | Current | Accepting new patients |
Locations
625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004
2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770
691 Murphy Rd
Ste 107
Medford, OR 97504
Phone (541) 789-5121
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Medford, OR
- NPI 1922381326
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Medford, OR
- NPI 1912228727
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1295613388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 E BARNETT RD # MSS",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048332",
"telephone_number": "541-789-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "691 MURPHY RD STE 107",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044311",
"telephone_number": "541-789-6460",
"fax_number": "541-789-6461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UGBO",
"first_name": "JERRY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-26",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA228396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.