ERIN DONNELLE JEFFERS (D.O.) – Family Medicine Physician, NPI 1073753141

ERIN DONNELLE JEFFERS (D.O.) is a healthcare provider. based in North royalton, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 34010656 (OH). The NPI Number for ERIN DONNELLE JEFFERS (D.O.) is 1073753141

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
ERIN DONNELLE JEFFERS (D.O.)
NPI
1073753141
Phone
(440) 652-8748
Address
12301 Ridge Rd
Enumeration Date
2 March 2009
Last Update Date
19 September 2025

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9543994673
Graduation Year
2008 (18 years ago)
PAC ID
9931361789
Group Practice PAC ID
6406039882
Professional Enrollment ID
I20120823000224
Address ID
OH435374055MA1715XCIRX401

Contacts

Main Contact
https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:17State licenses:2Other names

4,432 FAMILY PRACTICE in OH

Provider Addresses for ERIN DONNELLE JEFFERS (D.O.)

  • 12301 Ridge Rd

    North Royalton, OH 441333744

    Phone: (440) 652-8748

    Type: Location

  • 3601 SW 160TH AVE STE 250

    MIRAMAR, FL 330276314

    Phone: (954) 399-4673

    Type: Mailing

  • 4001 ROSSLYN DR

    CINCINNATI, OH 452091111

    Phone: (954) 399-4673

    Type: Location

  • 23214, Ranch Road, Beachwood, Cuyahoga County, Ohio, 44122, United States

    BEACHWOOD, OH 441221565

    Phone: (216) 356-6550

    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: 2012-08-23

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
I20120823000224IFamily PracticeOHTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes491121$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes17377$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes9169$0
11042Removal of skin and tissue, 20.0 sq cm or less7428$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4242$0
View full utilization report →

Insurance plans in this area (ZIP 44133)

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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: 6406039882View full group profile
NameSpecialtyState
-WV
Family PracticeDE
Internal MedicineNY
General PracticeFL
Nurse PractitionerPA
General SurgeryAL
General PracticeNY
General PracticeOH
Nurse PractitionerKY
Family Practice, Peripheral Vascular DiseaseOH

Reviews

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Frequently asked questions

Can I use this page to confirm ERIN DONNELLE JEFFERS (D.O.)'s NPI?
Yes. ERIN DONNELLE JEFFERS (D.O.) is listed with NPI 1073753141 in the public NPI dataset.
Does the file indicate ERIN DONNELLE JEFFERS (D.O.) is practicing under active NPI?
Directory data currently reports ERIN DONNELLE JEFFERS (D.O.) as active.
What taxonomy line describes ERIN DONNELLE JEFFERS (D.O.)?
For research purposes, treat ERIN DONNELLE JEFFERS (D.O.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ERIN DONNELLE JEFFERS (D.O.)?
ERIN DONNELLE JEFFERS (D.O.)'s geographic hint is North Royalton, Ohio in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.