MR. JEFFREY LEE GRESH (PA-C) – Surgical Physician Assistant, NPI 1104891639

MR. JEFFREY LEE GRESH (PA-C) is a healthcare provider. based in Columbus, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50.005146RX (OH). The NPI Number for MR. JEFFREY LEE GRESH (PA-C) is 1104891639

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFFREY LEE GRESH (PA-C)
NPI
1104891639
Phone
(888) 444-1203
Address
955 EASTWIND DR
Enumeration Date
20 February 2006
Last Update Date
27 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
8729007125
Group Practice PAC ID
6305758426
Professional Enrollment ID
I20170818002784
Address ID
OH432154799CO393XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for MR. JEFFREY LEE GRESH (PA-C)

  • 955 EASTWIND DR

    COLUMBUS, OH 430813376

    Phone: (888) 444-1203

    Type: Mailing

  • 1030 REFUGEE RD STE 275

    PICKERINGTON, OH 431470047

    Phone: (614) 533-5500

    Fax: (614) 533-0103

    Type: Location

  • PO BOX 7527

    DUBLIN, OH 430170727

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: SI-BONE, INC. ($28).

Total Amount

$87

General + Research + Ownership

Payments

4

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2017-08-18

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
I20170818002784IPhysician AssistantOHTBD

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 making1111$0
View full utilization report →

Insurance plans in this area (ZIP 43081)

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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: 6305758426View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Internal Medicine, Family Practice, UrologyOH
Physician AssistantOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YMN
General PracticeOH
-OH
Nurse PractitionerOH
Physician AssistantOH

Reviews

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Frequently asked questions

Is MR. JEFFREY LEE GRESH (PA-C) listed with a National Provider Identifier?
Yes — MR. JEFFREY LEE GRESH (PA-C) has NPI 1104891639 on file in the registry.
Is there an active status for MR. JEFFREY LEE GRESH (PA-C)?
For scheduling context, MR. JEFFREY LEE GRESH (PA-C) is shown as active in the registry.
What clinical focus is listed for MR. JEFFREY LEE GRESH (PA-C)?
At a glance, MR. JEFFREY LEE GRESH (PA-C) is tied to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. JEFFREY LEE GRESH (PA-C)?
Travel planning: use Columbus, Ohio as the reference point for MR. JEFFREY LEE GRESH (PA-C), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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