Individual provider Active NPI

Jay Raleigh Jeffrey, MD

  • Surgery Physician
  • Batesville, AR
National Provider Identifier
1063480168
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E0374 Issued in AR
Practice address
253 Virginia Dr
Batesville, AR 72501-7335
Phone
(870) 569-8179
Fax
(870) 569-8109
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E0374 AR Primary

Addresses

Primary practice location

253 Virginia Dr
Batesville, AR 72501-7335

Mailing address

253 Virginia Dr
Batesville, AR 72501-7335
Phone (870) 569-8179

Other identifiers 1

IdentifierTypeStateIssuer
127204001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214000585 AR Practitioner - General Surgery 7214822527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

253 Virginia Dr
Batesville, AR 72501-7335
Phone (870) 569-8179

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.24 of 100Reported as individual
Quality
81.71
Improvement activities
40
Cost
85.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy158
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)12
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux144
Melanoma (skin cancer) excision16
Leg revascularization (restoring blood flow)1-10
Removal of tissue17
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E0374ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Jeffrey, MD, Facs, PLLC Surgery CurrentSince Nov 5, 2018 Accepting new patients
David L. Posey, M.D., PLLC Surgery Past Accepting new patients

Locations

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

253 Virginia Dr
Batesville, AR 72501
Phone (870) 569-8179

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1063480168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 VIRGINIA DR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017335",
            "telephone_number": "870-569-8179",
            "fax_number": "870-569-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 VIRGINIA DR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017335",
            "telephone_number": "870-569-8179",
            "fax_number": "870-569-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "JAY",
        "middle_name": "RALEIGH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E0374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127204001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.