JEFFREY THOMAS REISERT (DO) – Internal Medicine Physician, NPI 1780668350
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
169 INTERNAL MEDICINE in WY
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Provider Addresses for JEFFREY THOMAS REISERT (DO)
428, Works Road, Jackson, Waldo County, Maine, United States
JACKSON, WY 830010428
Phone: (307) 733-7222
Fax: (307) 739-4828
Type: Mailing
201, East Broadway Avenue, Jackson, Teton County, Wyoming, 83001, United States
JACKSON, WY 830018640
Phone: (307) 733-7222
Fax: (307) 739-4828
Type: Location
1929 N AARON DR
TOOELE, UT 840748112
Phone: (435) 238-4318
Fax: (435) 237-0107
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $274.
Total Amount is formed as General ($274) + Research ($0) + Ownership ($0) = $274.
Last reported payment date: 2024-01-19 • Largest payer in this snapshot: Perspectum Diagnostics Ltd ($134).
Total Amount
$274
General + Research + Ownership
Payments
3
Total payment records
General Amount
$274
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Perspectum Diagnostics Ltd | $134 |
| Daiichi Sankyo Inc. | $118 |
| SANOFI-AVENTIS U.S. LLC | $23 |
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: 2025-01-02
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 |
|---|---|---|---|---|
| I20250102001144 | I | Internal Medicine | UT | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 299 | 259 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 274 | 145 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 83 | 44 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 71 | 71 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 59 | 52 | $0 |
Insurance plans in this area (ZIP 83001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| - | UT | |
| Physician Assistant | TX | |
| Nurse Practitioner | UT | |
| General Surgery | UT | |
| Nurse Practitioner | UT | |
| Diagnostic Radiology | MT | |
| Nurse Practitioner, Family Practice | UT | |
| - | UT | |
| Nurse Practitioner | UT |
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