JAMAL P. JETER (DPM) – Podiatrist, NPI 1124165931

JAMAL P. JETER (DPM) is a healthcare provider. based in North olmsted, Ohio. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 36-003234 (OH). The NPI Number for JAMAL P. JETER (DPM) is 1124165931

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
JAMAL P. JETER (DPM)
NPI
1124165931
Phone
(440) 471-4970
Address
30915 LORAIN RD STE 114
Enumeration Date
31 January 2007
Last Update Date
3 May 2018

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
9234024589
Group Practice PAC ID
2365745866
Professional Enrollment ID
I20040224000910
Address ID
OH440704713No30692RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

953 PODIATRY in OH

Provider Addresses for JAMAL P. JETER (DPM)

  • 30915 LORAIN RD STE 114

    NORTH OLMSTED, OH 440704722

    Phone: (440) 471-4970

    Fax: (440) 617-6065

    Type: Location

  • 30915, Lorain Road, North Olmsted, Cuyahoga County, Ohio, 44070, United States

    NORTH OLMSTED, OH 440704722

    Phone: (440) 471-4970

    Fax: (440) 617-6065

    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: 2004-02-24

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
I20040224000910IPodiatryOHTBD

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
11721Removal of fingernails or toenails, 6 or more nails1,211445$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes746338$0
99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes187187$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes3221$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 44070)

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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: 2365745866View full group profile
NameSpecialtyState
P O D I A T R YOH
P O D I A T R YPA

Reviews

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Frequently asked questions

Is JAMAL P. JETER (DPM) listed with a National Provider Identifier?
Yes — JAMAL P. JETER (DPM) has NPI 1124165931 on file in the registry.
Is JAMAL P. JETER (DPM) still an active registrant?
JAMAL P. JETER (DPM) carries an active NPI according to the public dataset.
What kind of doctor is JAMAL P. JETER (DPM)?
JAMAL P. JETER (DPM) is associated with Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
Is JAMAL P. JETER (DPM) associated with North Olmsted?
Public fields place JAMAL P. JETER (DPM) around North Olmsted, Ohio. Always confirm the exact site before visiting.
Can I trust this NPI listing for JAMAL P. JETER (DPM)?
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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