DR. JEFFREY DAVID LIGHTFOOT (MD) – Emergency Medicine Physician, NPI 1588642680

DR. JEFFREY DAVID LIGHTFOOT (MD) is a healthcare provider. based in Portsmouth, Virginia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 254494 (MA). The NPI Number for DR. JEFFREY DAVID LIGHTFOOT (MD) is 1588642680

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY DAVID LIGHTFOOT (MD)
NPI
1588642680
Phone
(240) 460-9023
Address
219 CHESAPEAKE AVE
Enumeration Date
9 January 2006
Last Update Date
19 May 2025

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
6034365110
Graduation Year
2002 (24 years ago)
PAC ID
5395882617
Group Practice PAC ID
3173988474
Professional Enrollment ID
I20250409003631
Address ID
NH038017128PO333XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,497 EMERGENCY MEDICINE in VA

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Provider Addresses for DR. JEFFREY DAVID LIGHTFOOT (MD)

  • 219, Chesapeake Avenue, Shea Terrace, Portsmouth, Virginia, 23704, United States

    PORTSMOUTH, VA 237041607

    Phone: (240) 460-9023

    Type: Location

  • 70 EAST ST

    METHUEN, MA 018444597

    Phone: (240) 460-9023

    Type: Mailing

  • 7549, Hawkstone Avenue Southwest, Port Orchard, Kitsap County, Washington, 98367, United States

    PORT ORCHARD, WA 983677412

    Phone: (240) 460-9023

    Type: Mailing

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: 2025-04-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130705000301IEmergency MedicineMATBD
I20250409003631IEmergency MedicineNHTBD

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 making291277$0
99284Emergency department visit with moderate level of medical decision making166155$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only149141$0
99291Critical care, first 30-74 minutes3737$0
99283Emergency department visit with low level of medical decision making3429$0
View full utilization report →

Insurance plans in this area (ZIP 23704)

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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: 3173988474View full group profile
NameSpecialtyState
Emergency MedicineMI
Nurse PractitionerNH
Emergency MedicineNH
Nurse PractitionerTX
Emergency MedicineOR
Emergency MedicineOH
Emergency MedicinePA
Emergency MedicineNH
Nurse PractitionerFL
Emergency MedicineMA

Reviews

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Frequently asked questions

Is DR. JEFFREY DAVID LIGHTFOOT (MD) listed with a National Provider Identifier?
Yes — DR. JEFFREY DAVID LIGHTFOOT (MD) has NPI 1588642680 on file in the registry.
Is there an active status for DR. JEFFREY DAVID LIGHTFOOT (MD)?
For scheduling context, DR. JEFFREY DAVID LIGHTFOOT (MD) is shown as active in the registry.
What area of care is associated with DR. JEFFREY DAVID LIGHTFOOT (MD)?
DR. JEFFREY DAVID LIGHTFOOT (MD)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JEFFREY DAVID LIGHTFOOT (MD) located near Portsmouth?
DR. JEFFREY DAVID LIGHTFOOT (MD) currently maps to Portsmouth, Virginia in this extract.
When was this NPI issued?
Enumeration for DR. JEFFREY DAVID LIGHTFOOT (MD) is noted as January 9, 2006 where the registry provides it.

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