JASON D. KIEFFER (MD) – Dermatology Physician, NPI 1215277454

JASON D. KIEFFER (MD) is a healthcare provider. based in Langley afb, Virginia. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. ME163122 (FL). The NPI Number for JASON D. KIEFFER (MD) is 1215277454

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JASON D. KIEFFER (MD)
NPI
1215277454
Phone
(757) 225-7630
Address
77 NEALY AVE
Enumeration Date
26 February 2013
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073592100
Graduation Year
2021 (5 years ago)
PAC ID
3476063645
Group Practice PAC ID
4688579311
Professional Enrollment ID
I20250606002008
Address ID
FL327656472OV1410XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:13State licenses:1Digital endpointsOther names

471 DERMATOLOGY in VA

Provider Addresses for JASON D. KIEFFER (MD)

  • 77 NEALY AVE

    LANGLEY AFB, VA 236652040

    Phone: (757) 225-7630

    Type: Mailing

  • 151 SOUTHHALL LN STE 300

    MAITLAND, FL 327517172

    Phone: (866) 400-3376

    Fax: (407) 650-3455

    Type: Mailing

  • 1410 W BROADWAY ST STE 205

    OVIEDO, FL 327656472

    Phone: (866) 400-3376

    Fax: (407) 359-5445

    Type: Location

  • 720 W OAK ST STE 201

    KISSIMMEE, FL 347414998

    Phone: (407) 518-3347

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $2,095.

Total Amount is formed as General ($2,095) + Research ($0) + Ownership ($0) = $2,095.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($271).

Total Amount

$2,095

General + Research + Ownership

Payments

70

Total payment records

General Amount

$2,095

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-06-06

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
I20250606002008IDermatologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23665)

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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: 4688579311View full group profile
NameSpecialtyState
-NV
-FL
Physician AssistantFL
Nurse PractitionerFL
-FL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
D E R M A T O L O G YFL
Physician AssistantFL
-FL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL

Reviews

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Frequently asked questions

What is the standard ID for JASON D. KIEFFER (MD) in the U.S.?
In the U.S., JASON D. KIEFFER (MD) is identified by NPI 1215277454.
Is JASON D. KIEFFER (MD)'s NPI status active today?
Active status means JASON D. KIEFFER (MD)'s NPI record is not deactivated in the public file.
What services align with JASON D. KIEFFER (MD)'s listing?
JASON D. KIEFFER (MD)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is JASON D. KIEFFER (MD) tied to Langley Afb, Virginia?
If you are local to Langley Afb, Virginia, JASON D. KIEFFER (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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