JIMMY BILL SERVETAS (D.O.) – Emergency Medicine Physician, NPI 1306045265

JIMMY BILL SERVETAS (D.O.) is a healthcare provider. based in Avon lake, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. OS11391 (FL). The NPI Number for JIMMY BILL SERVETAS (D.O.) is 1306045265

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
JIMMY BILL SERVETAS (D.O.)
NPI
1306045265
Phone
(440) 930-5850
Address
653 CANTER COURT
Enumeration Date
12 July 2007
Last Update Date
21 November 2011

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
9549395000
Graduation Year
2007 (19 years ago)
PAC ID
5597894782
Group Practice PAC ID
5991793002
Professional Enrollment ID
I20120118000252
Address ID
FL330654108CO3000XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

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Provider Addresses for JIMMY BILL SERVETAS (D.O.)

  • 653, Canter Court, Hunt Club, Avon Lake, Lorain County, Ohio, 44012, United States

    AVON LAKE, OH 44012

    Phone: (440) 930-5850

    Mailing address matches the actual address.

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: 2012-01-18

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
I20120118000252IEmergency MedicineFLTBD

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 making209201$0
99284Emergency department visit with moderate level of medical decision making7272$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only5959$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1616$0
View full utilization report →

Insurance plans in this area (ZIP 44012)

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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: 5991793002View full group profile

Reviews

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Frequently asked questions

Does JIMMY BILL SERVETAS (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JIMMY BILL SERVETAS (D.O.) uses 1306045265.
Is JIMMY BILL SERVETAS (D.O.) still practicing?
JIMMY BILL SERVETAS (D.O.) is currently listed as active in the public NPI registry.
What taxonomy line describes JIMMY BILL SERVETAS (D.O.)?
For research purposes, treat JIMMY BILL SERVETAS (D.O.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does JIMMY BILL SERVETAS (D.O.) serve?
JIMMY BILL SERVETAS (D.O.)'s listing highlights Avon Lake, Ohio; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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