DR. ANDREW JEFFREY (DO) – Emergency Medicine Physician, NPI 1477526382
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ANDREW JEFFREY (DO)
2747 QUAIL RUN DR
TOLEDO, OH 436151945
Phone: (419) 531-1273
Type: Mailing
608 UNION CHAPEL RD
FORT WAYNE, IN 468459357
Phone: (260) 498-2022
Fax: (260) 498-2032
Type: Mailing
416 E MAUMEE ST
ANGOLA, IN 467032001
Phone: (260) 665-2141
Type: Location
7911 ENCHANTED CIR
MONCLOVA, OH 435428324
Phone: (419) 320-7736
Type: Mailing
5901 MONCLOVA RD
MAUMEE, OH 435371899
Phone: (419) 893-5968
Type: Location
Wood County Hospital, 950, West Wooster Street, Foxgate Farm, Westgate Homes, Bowling Green, Wood County, Ohio, 43402, United States
BOWLING GREEN, OH 434022603
Phone: (419) 354-9810
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Exelixis Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exelixis Inc. | $20 |
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: 2022-08-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060222000001 | I | Emergency Medicine | OH | TBD |
| I20220802000259 | I | Emergency Medicine | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 177 | 164 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 83 | 76 | $0 |
| 99291 | Critical care, first 30-74 minutes | 21 | 20 | $0 |
Insurance plans in this area (ZIP 43615)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH |
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