Individual provider Active NPI

Jeffrey P McGovern, M.D.

  • Pulmonary Disease Physician
  • Erie, PA
National Provider Identifier
1780651554
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD047962L Issued in PA
Practice address
204 W 26TH St
Erie, PA 16508-1806
Phone
(814) 864-4755
Fax
(814) 864-5430
NPI assigned
Mar 1, 2006
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD047962L PA
Pulmonary Disease Physician 207RP1001X MD047962L PA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD047962L PA

Addresses

Primary practice location

204 W 26TH St
Erie, PA 16508-1806

Mailing address

204 W 26TH St
Erie, PA 16508-1806
Phone (814) 864-4755

Other identifiers 1

IdentifierTypeStateIssuer
0018935270001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmcgovern148871@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050408000304 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9032156344 Reassigns benefits to 1 organization
I20111219000391 NY Practitioner - Pulmonary Disease 9032156344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Hahnemann University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

155 E State St
Albion Family Practice
Albion, PA 16401-1347
Phone (814) 756-4917

204 W 26TH St
Erie, PA 16508-1806

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince Mar 3, 2014 Accepting new patients
Chautauqua Medical Practice, P.C. CurrentSince Jul 20, 2020 Accepting new patients

Locations

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

155 E State St
Albion, PA 16401
Phone (814) 756-4917

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

204 W 26th St
Erie, PA 16508
Phone (814) 454-2401

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

3580 Peach St
Ste 103A
Erie, PA 16508
Phone (814) 864-4755

3580 Peach St
Ste 103B
Erie, PA 16508
Phone (814) 864-5601

Organizations & group practices 2

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 7

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1780651554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081806",
            "telephone_number": "814-864-4755",
            "fax_number": "814-864-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081806",
            "telephone_number": "814-864-4755",
            "fax_number": "814-864-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD047962L",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD047962L",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD047962L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018935270001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcgovern148871@direct.ahn.org",
            "affiliation": "N",
            "address_1": "204 W 26th St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165081806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.