DR. JEFFREY D GREENBAUM (MD) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1649383001
Emergency Medical Services (Emergency Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
111 EMERGENCY MEDICINE in WY
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Provider Addresses for DR. JEFFREY D GREENBAUM (MD)
625, East Broadway Street, Altus, Jackson County, Oklahoma, 73521, United States
JACKSON, WY 830010428
Phone: (307) 733-3636
Type: Location
428, Works Road, Jackson, Waldo County, Maine, United States
625 E BROADWAY
JACKSON, WY 830010428
Phone: (307) 733-3636
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: 2010-10-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101028000012 | I | Emergency Medicine | WY | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 43 | 43 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 24 | 24 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 20 | 20 | $0 |
Insurance plans in this area (ZIP 83001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WY | |
| - | WY | |
| - | WY | |
| Physician Assistant | WY | |
| - | WY | |
| Certified Registered Nurse Anesthetist (Crna) | WY | |
| General Surgery | WY | |
| Physician Assistant | UT | |
| General Surgery | ID | |
| Qualified Audiologist | WY |
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