Active NPI
Jeffrey T Vercher, PA C
- Medical Physician Assistant
- Centerville, OH
National Provider Identifier
1285618017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 50002060
- Practice address
- 8039 Washington Village Drive
Ste 100
Centerville, OH 45458 - Phone
- (937) 435-8999
- Fax
- (937) 435-4211
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 50002060 | OH | Primary |
Addresses
Primary practice location
8039 Washington Village Drive
Ste 100
Centerville, OH 45458
Mailing address
8039 Washington Village Drive
Ste 100
Centerville, OH 45458-3859
Phone (937) 435-8999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0893476 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031218000087 | OH | Practitioner - Physician Assistant | 5991602880 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ohio Allergy Associates, Inc.
Practice addresses (Care Compare)
3121 Evelyn Dr
Suite 100
Beavercreek, OH 45434-4309
Phone (937) 320-1830
8039 Washington Village Dr
Centerville, OH 45458-1877
Phone (937) 435-8999
8654 N Main St
Dayton, OH 45415-1703
Phone (937) 890-3594
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.99 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50002060 | OH | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1285618017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8039 WASHINGTON VILLAGE DRIVE",
"address_2": "STE 100",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454583859",
"telephone_number": "937-435-8999",
"fax_number": "937-435-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8039 WASHINGTON VILLAGE DRIVE",
"address_2": "STE 100",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45458",
"telephone_number": "937-435-8999",
"fax_number": "937-435-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERCHER",
"first_name": "JEFFREY",
"middle_name": "T",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50002060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0893476",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.