JIM JEFFRIES (D.O.) – Anesthesiology Physician, NPI 1114901865

JIM JEFFRIES (D.O.) is a healthcare provider. based in Ballwin, Missouri. specializing in ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. 103933 (MO). The NPI Number for JIM JEFFRIES (D.O.) is 1114901865

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
JIM JEFFRIES (D.O.)
NPI
1114901865
Phone
(314) 775-2816
Address
13523 BARRETT PARKWAY DR
Enumeration Date
5 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
6362560320
Graduation Year
1993 (33 years ago)
PAC ID
0840198420
Group Practice PAC ID
1557842911
Professional Enrollment ID
I20031219000791
Address ID
MO630178200TO1130XDRXX600
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

1,228 ANESTHESIOLOGY in MO

Loading map...

Provider Addresses for JIM JEFFRIES (D.O.)

  • 13523 BARRETT PARKWAY DR

    SUITE 210

    BALLWIN, MO 630213802

    Phone: (314) 775-2816

    Fax: (314) 775-2821

    Type: Mailing

  • Des Peres Hospital, 2345, Dougherty Ferry Road, Des Peres, Saint Louis County, Missouri, 63122, United States

    SAINT LOUIS, MO 631223313

    Phone: (314) 821-5850

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-08-10 • Largest payer in this snapshot: Trevena, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Trevena, Inc.$17
View all Open Payments →|Open Payments Risk Radar →

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: 2003-12-19

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
I20031219000791IAnesthesiologyMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63021)

Loading plans...

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: 1557842911View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check JIM JEFFRIES (D.O.) using NPI 1114901865?
NPI 1114901865 belongs to JIM JEFFRIES (D.O.); compare other details if you need extra assurance.
Would JIM JEFFRIES (D.O.) appear as active to a payer?
You can treat JIM JEFFRIES (D.O.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with JIM JEFFRIES (D.O.)?
JIM JEFFRIES (D.O.)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JIM JEFFRIES (D.O.)?
Travel planning: use Ballwin, Missouri as the reference point for JIM JEFFRIES (D.O.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

DR. LINDA J ALGRA (M.D.)

Anesthesiology Physician
Saint Johns Mercy Medical Center, 615, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
NPI: 1568467959

DR. DONALD EDWARD ARNOLD (M.D.)

Anesthesiology Physician
Saint Johns Mercy Medical Center, 615, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
NPI: 1629073820

DR. CHARLES H BOWEN (M.D.)

Anesthesiology Physician
339 CONSORT DR
NPI: 1720083827

DR. JAY BENNETT ANDROPHY (M.D.)

Anesthesiology Physician
Saint Johns Mercy Medical Center, 615, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
NPI: 1831194034

DR. ANDREW M BARNETT (M.D.)

Anesthesiology Physician
339 CONSORT DR
NPI: 1932104130
501 Morris St
NPI: 1740285683

DR. JOANN E GALAKATOS (M.D.)

Anesthesiology Physician
Saint Johns Mercy Medical Center, 615, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
NPI: 1659376598

DR. JAMES J GIBBONS (M.D.)

Anesthesiology Physician
1070, Old Des Peres Road, Des Peres, Saint Louis County, Missouri, 63131, United States
NPI: 1477558310

DR. DONNA J HOLZUM (M.D.)

Anesthesiology Physician
Saint Johns Mercy Medical Center, 615, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
NPI: 1386649226