DR. JEFF DAVID WERNER (M.D.) – Diagnostic Radiology Physician, NPI 1417152885

DR. JEFF DAVID WERNER (M.D.) is a healthcare provider. based in Saint paul, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 58491 (MN). The NPI Number for DR. JEFF DAVID WERNER (M.D.) is 1417152885

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFF DAVID WERNER (M.D.)
NPI
1417152885
Phone
(651) 292-2000
Address
166 4TH ST E
Enumeration Date
18 June 2007
Last Update Date
8 November 2022

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6512922000
Graduation Year
2006 (20 years ago)
PAC ID
7113180258
Group Practice PAC ID
4486568482
Professional Enrollment ID
I20140821002741
Address ID
MN550928013WY5200XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

Provider Addresses for DR. JEFF DAVID WERNER (M.D.)

  • 166 4TH ST E

    SAINT PAUL, MN 551011421

    Phone: (651) 292-2000

    Type: Mailing

  • 2355 HIGHWAY 36 W STE 100

    ROSEVILLE, MN 551133905

    Phone: (651) 292-0000

    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: 2022-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (921 days ago).

Enrollment records

3

Earliest due date

2023-11-30

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
I20140821002741IDiagnostic RadiologyMNTBD
I20141108000274IDiagnostic RadiologyWI2023-11-30
I20220916002966IDiagnostic RadiologyNDTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
A9585Injection, gadobutrol, 0.1 ml1,02512$0
70450Ct scan head or brain without contrast660642$0
72125Ct scan of upper spine without contrast226225$0
72148Mri scan of lower spinal canal without contrast192186$0
72100X-ray of lower and sacral spine, 2-3 views11799$0
View full utilization report →

Insurance plans in this area (ZIP 55101)

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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: 4486568482View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. JEFF DAVID WERNER (M.D.)?
For DR. JEFF DAVID WERNER (M.D.), use NPI 1417152885 as the unique 10-digit identifier.
Is DR. JEFF DAVID WERNER (M.D.) still an active registrant?
DR. JEFF DAVID WERNER (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. JEFF DAVID WERNER (M.D.)'s focus?
For DR. JEFF DAVID WERNER (M.D.), the primary taxonomy reads as Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JEFF DAVID WERNER (M.D.)?
Travel planning: use Saint Paul, Minnesota as the reference point for DR. JEFF DAVID WERNER (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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