DR. THOMAS RUSSELL JEVON (M.D.) – Family Medicine Physician, NPI 1104898022

DR. THOMAS RUSSELL JEVON (M.D.) is a healthcare provider. based in Reading, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 58057 (MA). The NPI Number for DR. THOMAS RUSSELL JEVON (M.D.) is 1104898022

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS RUSSELL JEVON (M.D.)
NPI
1104898022
Phone
(781) 942-0380
Address
30 NEWCROSSING RD STE 301
Enumeration Date
3 February 2006
Last Update Date
28 January 2010

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
7816656606
Graduation Year
1983 (43 years ago)
PAC ID
9234186719
Group Practice PAC ID
4385638782
Professional Enrollment ID
I20050406000952
Address ID
MA021514543RE425XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

Provider Addresses for DR. THOMAS RUSSELL JEVON (M.D.)

  • 30 NEWCROSSING RD STE 301

    READING, MA 018673254

    Phone: (781) 942-0380

    Fax: (781) 942-0371

    Mailing address matches the actual address.

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: 2005-04-06

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
I20050406000952IFamily PracticeMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes335224$0
99214Established patient office or other outpatient visit, 30-39 minutes302221$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit106106$0
G0008Administration of influenza virus vaccine5252$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage3838$0
View full utilization report →

Insurance plans in this area (ZIP 01867)

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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: 4385638782View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyMA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Family PracticeNM
-MA
-MA
-MA
Physician AssistantMA
-MA

Reviews

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Frequently asked questions

How do payers reference DR. THOMAS RUSSELL JEVON (M.D.)?
For DR. THOMAS RUSSELL JEVON (M.D.), use NPI 1104898022 as the unique 10-digit identifier.
Would DR. THOMAS RUSSELL JEVON (M.D.) appear as active to a payer?
You can treat DR. THOMAS RUSSELL JEVON (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. THOMAS RUSSELL JEVON (M.D.)?
DR. THOMAS RUSSELL JEVON (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. THOMAS RUSSELL JEVON (M.D.) located near Reading?
DR. THOMAS RUSSELL JEVON (M.D.) currently maps to Reading, Massachusetts in this extract.
When was this NPI issued?
Enumeration for DR. THOMAS RUSSELL JEVON (M.D.) is noted as February 3, 2006 where the registry provides it.

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