JEFFREY D ELBERS (MD) – Family Medicine Physician, NPI 1174547723

JEFFREY D ELBERS (MD) is a healthcare provider. based in White bear lake, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 36523 (MN). The NPI Number for JEFFREY D ELBERS (MD) is 1174547723

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY D ELBERS (MD)
NPI
1174547723
Phone
(651) 426-6402
Address
4786 BANNING AVE
Enumeration Date
27 July 2006
Last Update Date
15 February 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6517884444
Graduation Year
1992 (34 years ago)
PAC ID
8820900947
Group Practice PAC ID
1355369018
Professional Enrollment ID
I20071215000203
Address ID
MN550386071HU14688NXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

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Provider Addresses for JEFFREY D ELBERS (MD)

  • 4786, Banning Avenue, White Bear Lake, Ramsey County, Minnesota, 55110, United States

    WHITE BEAR LAKE, MN 551103264

    Phone: (651) 426-6402

    Fax: (651) 429-3402

    Type: Location

  • 2025 SLOAN PL

    SUITE 35

    SAINT PAUL, MN 551172007

    Phone: (651) 772-1572

    Fax: (651) 772-1889

    Type: Mailing

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: 2007-12-15

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
I20071215000203IFamily PracticeMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes302172$0
36415Insertion of needle into vein for collection of blood sample265177$0
99213Established patient office or other outpatient visit, 20-29 minutes13089$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit100100$0
83036Hemoglobin a1c level7241$0
View full utilization report →

Insurance plans in this area (ZIP 55110)

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Provider's Procedures

JEFFREY D ELBERS (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMN85610Blood test, clotting time8613

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: 1355369018View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for JEFFREY D ELBERS (MD)?
JEFFREY D ELBERS (MD) — NPI 1174547723 — is the standard way to identify this listing.
Does the file indicate JEFFREY D ELBERS (MD) is practicing under active NPI?
Directory data currently reports JEFFREY D ELBERS (MD) as active.
What is JEFFREY D ELBERS (MD)'s specialty?
The listing groups JEFFREY D ELBERS (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JEFFREY D ELBERS (MD)?
JEFFREY D ELBERS (MD)'s geographic hint is White Bear Lake, Minnesota in our summary view.
Why does JEFFREY D ELBERS (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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