Jeffrey R Thill, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME55997 Issued in FL

Practice address

808 Highway 466
Lady Lake, FL 32159-3918

Phone

(352) 751-0040

Fax

(352) 751-2825

NPI assigned

Sep 27, 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 1

Medicare fee-for-service enrollment

Enrolled in FL

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

89.09 of 100Reported as individual

Quality

78.19

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffreythill@uicfla.medalliesdirect.net

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.

• Norman H. Anderson, MD, PA

  • Radiation Oncology Physician
  • Ocala, FL
  • NPI 1912955139

  FL, Urology

  Medicare reassignment NPD
• Lake Sumter Urology, LLC

  • Urology Physician
  • Lady Lake, FL
  • NPI 1285385401

  Urology

  NPD
• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  NPD (past)
• Deture Stone Associates, PA

  • Urology Physician
  • Orlando, FL
  • NPI 1285735969

  Urology

  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1790771574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714118",
            "telephone_number": "352-732-0277",
            "fax_number": "352-732-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 HIGHWAY 466",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593918",
            "telephone_number": "352-751-0040",
            "fax_number": "352-751-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THILL",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME55997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3726347-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Fernandez Martinez Management, LLC
• The Springs Lady Lake Assisted Living Facility and Rehab LLC
• The Villages Internal Medicine and Geriatrics
• The Villages Nursing and Rehab LLC
• The Villages Rehabilitation Services LLC
• Kelsie Thomas
• Matthew Thompson, PA-C
• Hina Aslam Ticknor
• TLC ASC, LLC
• Maxwell Tran, MD

• All providers in Lady Lake, FL
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.