JEFFERSON MASON TRUPP (MD) – Radiation Oncology Physician, NPI 1871552638

JEFFERSON MASON TRUPP (MD) is a healthcare provider. based in Lynn haven, Florida. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. MD.11479 (AL). The NPI Number for JEFFERSON MASON TRUPP (MD) is 1871552638

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
JEFFERSON MASON TRUPP (MD)
NPI
1871552638
Phone
(850) 481-1687
Address
2900 S HIGHWAY 77
Enumeration Date
21 March 2006
Last Update Date
2 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
3375577083
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20241007002103
Address ID
IL616360001PE221XXAVEX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

494 RADIATION ONCOLOGY in FL

Provider Addresses for JEFFERSON MASON TRUPP (MD)

  • 2900 S HIGHWAY 77

    LYNN HAVEN, FL 324445612

    Phone: (850) 481-1687

    Fax: (850) 640-0761

    Type: Location

  • 100 Doctors Dr

    Panama City, FL 324057608

    Phone: (850) 896-0773

    Fax: (850) 234-9272

    Type: Location

  • 2900 S Highway 77

    Lynn Haven, FL 324445612

    Phone: (850) 481-1687

    Fax: (850) 640-0761

    Type: Location

  • 1410 MCFARLAND BLVD N

    TUSCALOOSA, AL 354062459

    Phone: (205) 345-8208

    Type: Location

  • 8203, North Lagoon Drive, Panama City Beach, Bay County, Florida, 32408, United States

    PANAMA CITY, FL 324085267

    Phone: (850) 896-0773

    Fax: (850) 234-9272

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($32).

Total Amount

$149

General + Research + Ownership

Payments

7

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2026-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20100223000820IRadiation OncologyFLTBD
I20101209001175IRadiation OncologyALTBD
I20241007002103IRadiation OncologyILTBD
I20260228000772IRadiation OncologyPATBD

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
77014Ct guidance for insertion of radiation therapy fields14623$0
77427Radiation treatment management, 5 treatment sessions3915$0
77334Design and construction of complex radiation treatment device2912$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 32444)

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Provider's Procedures

JEFFERSON MASON TRUPP (MD) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYFL78815Nuclear medicine study with CT imaging skull base to mid-thigh2119

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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

What number should I use to identify JEFFERSON MASON TRUPP (MD) for billing?
Administrative and clinical systems typically use NPI 1871552638 for JEFFERSON MASON TRUPP (MD).
Is JEFFERSON MASON TRUPP (MD)'s NPI status active today?
Active status means JEFFERSON MASON TRUPP (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits JEFFERSON MASON TRUPP (MD)?
NPPES ties JEFFERSON MASON TRUPP (MD) to Radiation Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JEFFERSON MASON TRUPP (MD)?
JEFFERSON MASON TRUPP (MD) is associated with Lynn Haven, Florida in the same public data insurers reference.
Who maintains JEFFERSON MASON TRUPP (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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