Individual provider Active NPI

Evin G Jerkins, D.O.

  • Sleep Medicine (Family Medicine) Physician
  • Lancaster, OH
National Provider Identifier
1578805388
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
34012843 Issued in OH
Practice address
618 Pleasantville Rd Ste 303
Lancaster, OH 43130-3373
Phone
(740) 689-6833
Fax
(740) 689-6827
NPI assigned
Mar 19, 2013
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X 34012843 OH Primary

Addresses

Primary practice location

618 Pleasantville Rd Ste 303
Lancaster, OH 43130-3373

Mailing address

135 N Ewing St Ste 204
Lancaster, OH 43130-3378
Phone (740) 689-4925

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171016000718 OH Practitioner - Sleep Medicine 0446578868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Ohio University, College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 689-4404

618 Pleasantville Rd
Lancaster, OH 43130-3373

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.95 of 100Reported as group
Quality
43.39
Promoting interoperability
100
Improvement activities
40
Cost
76.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sovewell, LLC Sleep Medicine Current Accepting new patients
Fairfield Healthcare Professionals Inc Multi-Specialty CurrentSince Sep 5, 2017 Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Sep 5, 2017 Accepting new patients
Fairfield Healthcare Professionals, Inc. Multi-Specialty Past Accepting new patients
Fairfield Healthcare Professionals Inc Multi-Specialty Past Accepting new patients

Locations

1153 E Main St
Lancaster, OH 43130
Phone (740) 687-8990

131 N Ewing St
Ste C
Lancaster, OH 43130
Phone (740) 689-6600

135 N Ewing St
Ste 204
Lancaster, OH 43130
Phone (740) 689-4925

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

618 Pleasantville Rd
Ste 303
Lancaster, OH 43130
Phone (740) 689-6833

Organizations & group practices 5

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1578805388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N EWING ST STE 204",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303378",
            "telephone_number": "740-689-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 PLEASANTVILLE RD STE 303",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303373",
            "telephone_number": "740-689-6833",
            "fax_number": "740-689-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERKINS",
        "first_name": "EVIN",
        "middle_name": "G",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-19",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "OH",
            "license": "34012843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.