JERRY A JEFSON (MD) – Surgery Physician, NPI 1619946670
Surgery Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
729 GENERAL SURGERY in IN
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Provider Addresses for JERRY A JEFSON (MD)
Lafayette Post Office, 99, Chauncy Street, Downtown Crossing, Downtown Boston, Boston, Suffolk County, Massachusetts, 02111, United States
LAFAYETTE, IN 479034699
Phone: (765) 449-2732
Fax: (765) 449-1196
Type: Mailing
Unity Place, Lafayette, Tippecanoe County, Indiana, 47905, United States
SUITE 235
LAFAYETTE, IN 479055760
Phone: (765) 446-5065
Fax: (765) 446-5170
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $105.
Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: PFIZER INC. ($84).
Total Amount
$105
General + Research + Ownership
Payments
2
Total payment records
General Amount
$105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $84 |
| Braintree Laboratories, Inc. | $21 |
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: 2004-07-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040713001503 | I | General Surgery | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 103 | 81 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 81 | 37 | $0 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 67 | 66 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 46 | 36 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 44 | 44 | $0 |
Insurance plans in this area (ZIP 47903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Physical Therapist In Private Practice | IN | |
| - | IN | |
| - | IN | |
| G A S T R O E N T E R O L O G Y | IN | |
| Physical Therapist In Private Practice | IN |
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