Jeffrey Bruce Studebaker, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35 044532 Issued in OH

Practice address

98 Mosier Pkwy
Brookville, OH 45309-1750

Phone

(937) 833-4103

Fax

(937) 833-3147

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.94 of 100Reported as group

Quality

80.85

Promoting interoperability

99

Improvement activities

40

Cost

79.78

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Samaritan Family Care Inc

  • Family Medicine Physician
  • Moraine, OH
  • NPI 1659503886

  Family Medicine, OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1356427140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 MOSIER PKWY",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453091750",
            "telephone_number": "937-833-4103",
            "fax_number": "937-833-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 MOSIER PKWY",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453091750",
            "telephone_number": "937-833-4103",
            "fax_number": "937-833-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDEBAKER",
        "first_name": "JEFFREY",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35 044532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000233943",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004570608",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0120266",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0545780",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Dawn Slack, APRN
• Deborah Dawn Smith, RN
• Southwest Ohio Home Care LLC
• Brian Keith Stinson Jr.
• Studebaker Family Practice Inc.
• Vanessa Gayle Taylor, RN
• Transitions Counseling & Wellness, LLC
• Transitions Counseling and Wellness
• Marion Upton
• Dwaine Edward Valentine, D.D.S.

• All providers in Brookville, OH
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.

Verify at the official NPI Registry.