JEFFREY LIN (D.O.) – Infectious Disease Physician, NPI 1639622665

JEFFREY LIN (D.O.) is a healthcare provider. based in Fort walton beach, Florida. specializing in INFECTIOUS DISEASE. They hold the professional credentials D.O.. They hold a License No. OS17605 (FL). The NPI Number for JEFFREY LIN (D.O.) is 1639622665

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY LIN (D.O.)
NPI
1639622665
Phone
(850) 862-3979
Address
917 MAR WALT DR
Enumeration Date
26 July 2016
Last Update Date
5 May 2024

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8508623979
Graduation Year
2016 (10 years ago)
PAC ID
8820386030
Group Practice PAC ID
5092753772
Professional Enrollment ID
I20210520002365
Address ID
FL325476651FO917XXDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

731 INFECTIOUS DISEASE in FL

Provider Addresses for JEFFREY LIN (D.O.)

  • 917 MAR WALT DR

    FORT WALTON BEACH, FL 325476651

    Phone: (850) 862-3979

    Type: Mailing

  • 21, Leawood Avenue, Mount de Chantal, Wheeling, Ohio County, West Virginia, 26003, United States

    WHEELING, WV 260036435

    Phone: (410) 404-5015

    Type: Mailing

  • 2000, Eoff Street, Centre Market Historic District, East Wheeling Historic District, Wheeling, Ohio County, West Virginia, 26003, United States

    WHEELING, WV 260033823

    Phone: (304) 234-8177

    Type: Location

  • 2000 Eoff St

    Wheeling, WV 260033823

    Phone: (304) 234-8177

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $5,121.

Total Amount is formed as General ($5,121) + Research ($0) + Ownership ($0) = $5,121.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Melinta Therapeutics, LLC ($4,261).

Total Amount

$5,121

General + Research + Ownership

Payments

54

Total payment records

General Amount

$5,121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210520002365IInfectious DiseaseFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0878Injection, daptomycin, 1 mg1,950,774108$0
J0121Injection, omadacycline, 1 mg105,50970$0
J2406Injection, oritavancin (kimyrsa), 10 mg19,080110$0
J2185Injection, meropenem, 100 mg8,54518$0
J0696Injection, ceftriaxone sodium, per 250 mg6,993144$0
View full utilization report →

Insurance plans in this area (ZIP 32547)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092753772View full group profile
NameSpecialtyState
Nurse PractitionerFL
Pulmonary Disease, Critical Care (Intensivists)NY
Infectious DiseaseFL
P O D I A T R YFL
R H E U M A T O L O G YWI
Nurse PractitionerFL
Infectious Disease, Internal MedicineFL
Critical Care (Intensivists), Pulmonary DiseaseFL
Infectious Disease, Internal MedicineIL
Infectious DiseaseGA

Reviews

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Frequently asked questions

Does JEFFREY LIN (D.O.) have a public NPI I can cite?
Public records show JEFFREY LIN (D.O.) under NPI 1639622665.
Does the public listing show JEFFREY LIN (D.O.) as active?
JEFFREY LIN (D.O.)'s NPI record reflects an active status in NPPES.
How should patients interpret JEFFREY LIN (D.O.)'s specialty?
The extract shows Infectious Disease Physician for JEFFREY LIN (D.O.). Clinical services aligned with this taxonomy classification.
Which community is linked to JEFFREY LIN (D.O.)?
JEFFREY LIN (D.O.) shows a connection to Fort Walton Beach, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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