DR. JESSE LAVIN (D.O.) – Emergency Medicine Physician, NPI 1134567084

DR. JESSE LAVIN (D.O.) is a healthcare provider. based in Festus, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 125.062947 (IL). The NPI Number for DR. JESSE LAVIN (D.O.) is 1134567084

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSE LAVIN (D.O.)
NPI
1134567084
Phone
(636) 933-1111
Address
1400 US Highway 61
Enumeration Date
12 June 2013
Last Update Date
11 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
0941521660
Group Practice PAC ID
1658276811
Professional Enrollment ID
I20160406000210
Address ID
MO631418221ST615XXBLDG701
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,351 EMERGENCY MEDICINE in MO

Provider Addresses for DR. JESSE LAVIN (D.O.)

  • 1400 US Highway 61

    Festus, MO 630284100

    Phone: (636) 933-1111

    Type: Location

  • 901 E 5th St

    Washington, MO 630903127

    Phone: (636) 239-8000

    Type: Location

  • 615 S New Ballas Rd

    Saint Louis, MO 631418221

    Phone: (314) 251-6090

    Type: Location

  • 1000 E Cherry St

    Troy, MO 633791513

    Phone: (636) 528-8551

    Type: Location

  • 615 N PROMENADE

    PO BOX 530

    HAVANA, IL 626440530

    Phone: (309) 543-4431

    Type: Mailing

  • 530 NE GLEN OAK AVE

    NORTH BUILDING 2620

    PEORIA, IL 616370001

    Phone: (314) 495-5194

    Fax: (309) 624-9887

    Type: Location

  • 10010 KENNERLY RD

    SAINT LOUIS, MO 631282106

    Phone: (314) 525-1900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: PFIZER INC. ($49).

Total Amount

$62

General + Research + Ownership

Payments

3

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-04-06

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
I20160406000210IEmergency MedicineMOTBD

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
99285Emergency department visit with high level of medical decision making181179$0
99291Critical care, first 30-74 minutes7171$0
99284Emergency department visit with moderate level of medical decision making4343$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 63028)

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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: 1658276811View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineMO
-MO
-MO
-MO
Emergency MedicineMO
O B S T E T R I C S/ G Y N E C O L O G YIL
Internal MedicineMO
Allergy/Immunology, Internal MedicineMO
Physician AssistantIL
O B S T E T R I C S/ G Y N E C O L O G YMO

Reviews

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Frequently asked questions

How do payers reference DR. JESSE LAVIN (D.O.)?
For DR. JESSE LAVIN (D.O.), use NPI 1134567084 as the unique 10-digit identifier.
Is DR. JESSE LAVIN (D.O.) still an active registrant?
DR. JESSE LAVIN (D.O.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. JESSE LAVIN (D.O.)?
At a glance, DR. JESSE LAVIN (D.O.) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JESSE LAVIN (D.O.)?
Directory geography for DR. JESSE LAVIN (D.O.) centers on Festus, Missouri.
Can I trust this NPI listing for DR. JESSE LAVIN (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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