Jeffrey B Gleick, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-067476 Issued in OH

Practice address

1989 Miamisburg Centerville Rd
Suite 301
Centerville, OH 45459-3859

Phone

(937) 434-7353

Fax

(937) 438-6569

NPI assigned

Jun 17, 2005

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 3

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

Specialty

Family Practice

Education

University of Kentucky College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Integrated Medical Assoc LTD 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kettering Homecare Home health agency, Kettering, OH, CCN 367778
• Buckeye Home Health Care, LLC Home health agency, Dayton, OH, CCN 368197
• Bethany Village Home Health Care Home health agency, Dayton, OH, CCN 368343
• Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
• Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
• Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239

Merit-based Incentive Payment System (MIPS)

Final score

93.46 of 100Reported as individual

Quality

89

Promoting interoperability

100

Improvement activities

40

Cost

89.21

Procedures performed for Medicare patients

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.

• Premier Integrated Medical Assoc LTD

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1811953052

  Family Medicine, OH

  Medicare reassignment Care Compare group NPD
• Providence Medical Group

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1972533149

  Family Medicine, OH

  Medicare reassignment NPD
• Premier Integrated Medical Assoc LTD

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1285690339

  Family Medicine

  NPD
• Providence Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Moraine, OH
  • NPI 1659726768
  NPD
• The Christ Hospital Medical Associates, LLC

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1114107919

  Family Medicine

  NPD (past)
• John Balko and Associates Inc

  • Family Medicine Physician
  • Hermitage, PA
  • NPI 1932105996

  Family Medicine

  NPD (past)

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

• Alternate Solutions Homecare of Dayton, LLC

  • Home Health Agency
  • Kettering, OH
  • NPI 1639195332
  Care Compare affiliation
• Buckeye Home Health Care LLC

  • Home Health Agency
  • Dayton, OH
  • NPI 1699879601
  Care Compare affiliation
• Dayton Osteopathic Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1053339507

  Hospital

  Care Compare affiliation
• Health at Home, LLC

  • Home Health Agency
  • Dayton, OH
  • NPI 1265768956
  Care Compare affiliation
• Kettering Medical Center

  • General Acute Care Hospital
  • Kettering, OH
  • NPI 1043233984

  Hospital

  Care Compare affiliation
• Kettering Medical Center

  • General Acute Care Hospital
  • Miamisburg, OH
  • NPI 1316966518

  Hospital

  Care Compare affiliation
• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1760487599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 SPRINGBORO RD",
            "address_2": "SUITE 201",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391674",
            "telephone_number": "937-297-8999",
            "fax_number": "937-298-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 MIAMISBURG CENTERVILLE RD",
            "address_2": "SUITE 301",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593859",
            "telephone_number": "937-434-7353",
            "fax_number": "937-438-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEICK",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-067476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00708877",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2065125",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "GL4038173",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad Gibson, APRN
• Jacob B Gibson, DO
• Katherine S Gilmore, CNP
• Karen M Gisslen, CNM
• Alexis Paola Gleghorn
• Glenn Dehart Family Solutions LLC
• Teresa Glover
• Adam Anthony Golas, M.D., M.P.H.
• Madison Golden
• Katherine Nicole Goley, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.