DR. JERRY R II POWELL (MD) – Family Medicine Physician, NPI 1619958378
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
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Provider Addresses for DR. JERRY R II POWELL (MD)
Woodlawn Hospital, 1400, East 9th Street, Rochester, Fulton County, Indiana, 46975, United States
ROCHESTER, IN 469758937
Phone: (574) 224-1048
Fax: (574) 224-1103
Type: Mailing
239 Ash St
Tipton, IN 460721752
Phone: (765) 675-8733
Fax: (765) 675-7121
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-02-25
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 |
|---|---|---|---|---|
| I20040225000749 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 249 | 234 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 109 | 106 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 23 | 23 | $0 |
Insurance plans in this area (ZIP 46975)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Emergency Medicine | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| Critical Care (Intensivists), Nephrology | IN | |
| Hospitalist, Internal Medicine | IN | |
| Emergency Medicine, Pathology | IN | |
| Emergency Medicine | IN | |
| Pulmonary Disease, Internal Medicine | IN | |
| Orthopedic Surgery | IN |
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