Individual provider Active NPI

Jeffrey T Vercher, PA C

  • Medical Physician Assistant
  • Centerville, OH
National Provider Identifier
1285618017
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50002060 Issued in OH
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

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0893476MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. 4 clinicians

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 100Reported as group
Quality
100
Improvement activities
40
Cost
76.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50002060OHMDMedical 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

Verify at the official NPI Registry.