JEFFREY C HAGEDORN (M.D.) – Neurology Physician, NPI 1679529879

JEFFREY C HAGEDORN (M.D.) is a healthcare provider. based in Columbus, Indiana. specializing in PHYSICAL MEDICINE AND REHABILITATION, NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 01028132A (IN). The NPI Number for JEFFREY C HAGEDORN (M.D.) is 1679529879

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY C HAGEDORN (M.D.)
NPI
1679529879
Phone
(812) 376-3100
Address
1655 N GLADSTONE AVE STE A
Enumeration Date
26 May 2006
Last Update Date
9 September 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8123733025
Graduation Year
1978 (48 years ago)
PAC ID
9638246622
Group Practice PAC ID
1052612314
Professional Enrollment ID
I20100625000272
Address ID
IN472015351CO2400XSTXX300

Contacts

Secure Messaging
jhagedorn7564@edirect.crh.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

217 PHYSICAL MEDICINE AND REHABILITATION in IN

Provider Addresses for JEFFREY C HAGEDORN (M.D.)

  • 1655 N GLADSTONE AVE STE A

    COLUMBUS, IN 472015380

    Phone: (812) 376-3100

    Fax: (812) 378-6191

    Type: Mailing

  • 2138 25TH ST STE F

    COLUMBUS, IN 472013241

    Phone: (812) 376-3100

    Fax: (812) 378-6191

    Type: Location

  • PO BOX 775383

    CHICAGO, IL 606775383

    Phone: (812) 376-5315

    Type: Mailing

  • 1655, Gladstone Avenue, South Linden, Columbus, Sharon, Franklin, Ohio, 43211, United States

    SUITE A

    COLUMBUS, IN 472015380

    Phone: (812) 376-3100

    Fax: (812) 378-6191

    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: 2010-06-25

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100625000272INeurologyINTBD

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
95811Sleep study in sleep lab with continuous airway pressure (6 years or older)5857$0
95810Sleep study in sleep lab (6 years or older)1414$0
View full utilization report →

Insurance plans in this area (ZIP 47201)

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Provider's Procedures

JEFFREY C HAGEDORN (M.D.) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYIN95806Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort3838
NEUROLOGYIN95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube258251
NEUROLOGYIN95819Measurement and recording of brain wave (EEG) activity, awake and asleep1717

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: 1052612314View full group profile
NameSpecialtyState
-IL
Family PracticeIL
Physician AssistantIN
N E U R O L O G YFL
Nurse PractitionerIN
Nurse PractitionerIL
Family PracticeIN
Family PracticeIN
Physician AssistantIL
Nurse PractitionerIN

Reviews

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Frequently asked questions

How do I look up JEFFREY C HAGEDORN (M.D.) by NPI?
Use NPI 1679529879 when you need to reference JEFFREY C HAGEDORN (M.D.) in forms, claims, or directories.
Does this profile mean JEFFREY C HAGEDORN (M.D.) is currently active?
Yes — JEFFREY C HAGEDORN (M.D.) appears active in the national provider directory.
What does JEFFREY C HAGEDORN (M.D.) treat or focus on?
Patients typically see JEFFREY C HAGEDORN (M.D.) under the specialty Neurology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JEFFREY C HAGEDORN (M.D.)?
The snapshot lists Columbus, Indiana for JEFFREY C HAGEDORN (M.D.); download NPPES for the complete set.
Is JEFFREY C HAGEDORN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1679529879. Always confirm identity and privileges with the practice and licensing boards.

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