MR. JEFFREY J REVILL (MD) – Family Medicine Physician, NPI 1679567523

MR. JEFFREY J REVILL (MD) is a healthcare provider. based in Columbia, Tennessee. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35.098156 (OH). The NPI Number for MR. JEFFREY J REVILL (MD) is 1679567523

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFFREY J REVILL (MD)
NPI
1679567523
Phone
(931) 626-0117
Address
1530 CENTER STAR ROAD
Enumeration Date
7 September 2005
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
9317626571
Graduation Year
2001 (25 years ago)
PAC ID
2961472683
Group Practice PAC ID
3072412592
Professional Enrollment ID
I20040729001036
Address ID
TN384644011LA1607X43XX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:20State licenses:3Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

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Provider Addresses for MR. JEFFREY J REVILL (MD)

  • Star Road, Vernon, Regional District of North Okanagan, British Columbia, V1B 3S5, Canada

    COLUMBIA, TN 38401

    Phone: (931) 626-0117

    Fax: (931) 380-3640

    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: 2025-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20040729001036IEmergency MedicineTNTBD
I20111202000395IEmergency MedicineOHTBD
I20250619001555IEmergency MedicineKYTBD

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 making265232$0
99284Emergency department visit with moderate level of medical decision making213194$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only145136$0
99283Emergency department visit with low level of medical decision making5753$0
99291Critical care, first 30-74 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 38401)

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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: 3072412592View full group profile
NameSpecialtyState
-NC
-VA
Emergency MedicineVA
Nurse PractitionerGA
Emergency MedicineNC
-TN
Emergency MedicineNC
Physician AssistantGA
Internal MedicineVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

Does MR. JEFFREY J REVILL (MD) have a public NPI I can cite?
Public records show MR. JEFFREY J REVILL (MD) under NPI 1679567523.
Quick check: is MR. JEFFREY J REVILL (MD) active?
Public NPPES data shows MR. JEFFREY J REVILL (MD) with an active NPI status right now.
What type of care does MR. JEFFREY J REVILL (MD) provide?
MR. JEFFREY J REVILL (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MR. JEFFREY J REVILL (MD) in Columbia, Tennessee?
For routing, start with Columbia, Tennessee for MR. JEFFREY J REVILL (MD), then verify phone and hours locally.
Who maintains MR. JEFFREY J REVILL (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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