DR. TABATHA L. JEFFERS – Emergency Medicine Physician, NPI 1326058629

DR. TABATHA L. JEFFERS is a healthcare provider. based in Du bois, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold a License No. OS-010759-L (PA). The NPI Number for DR. TABATHA L. JEFFERS is 1326058629

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. TABATHA L. JEFFERS
NPI
1326058629
Phone
(814) 375-0460
Address
825 TREASURE LK
Enumeration Date
9 August 2006
Last Update Date
28 January 2015

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8148492312
Graduation Year
1999 (27 years ago)
PAC ID
7113977141
Group Practice PAC ID
3072579598
Professional Enrollment ID
I20050420000784
Address ID
PA158251367BR100XXRDXX300
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

3,391 EMERGENCY MEDICINE in PA

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Provider Addresses for DR. TABATHA L. JEFFERS

  • 825 TREASURE LK

    DU BOIS, PA 158019017

    Phone: (814) 375-0460

    Fax: (814) 375-3472

    Type: Mailing

  • Du Bois, Pawnee County, Nebraska, United States

    DU BOIS, PA 158011440

    Phone: (814) 375-6470

    Fax: (814) 375-3472

    Type: Location

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: 2005-04-20

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
I20050420000784IEmergency MedicinePATBD

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
99284Emergency department visit with moderate level of medical decision making8479$0
99285Emergency department visit with high level of medical decision making8482$0
99283Emergency department visit with low level of medical decision making2626$0
View full utilization report →

Insurance plans in this area (ZIP 15801)

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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: 3072579598View full group profile
NameSpecialtyState
Emergency Medicine, HospitalistPA
Certified Registered Nurse Anesthetist (Crna)PA
Cardiovascular Disease (Cardiology), Internal MedicinePA
Nurse PractitionerPA
Nurse PractitionerPA
P S Y C H I A T R YPA
Nurse PractitionerPA
Nurse PractitionerPA
Physician AssistantPA
Family PracticeFL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. TABATHA L. JEFFERS's NPI?
Yes. DR. TABATHA L. JEFFERS is listed with NPI 1326058629 in the public NPI dataset.
Is DR. TABATHA L. JEFFERS listed as active for patients and plans?
The listing shows DR. TABATHA L. JEFFERS as active in the NPI system.
What is DR. TABATHA L. JEFFERS's specialty?
The listing groups DR. TABATHA L. JEFFERS with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. TABATHA L. JEFFERS on a map?
Expect Du Bois, Pennsylvania as a primary anchor for DR. TABATHA L. JEFFERS unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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