Individual provider Active NPI

Jeffrey N Perry, D.O.

  • Family Medicine Physician
  • Manchester, PA
National Provider Identifier
1871565341
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS010093L Issued in PA
Practice address
4314 N George Street Ext
Manchester, PA 17345-1307
Phone
(717) 266-0252
Fax
(717) 266-6908
NPI assigned
Feb 7, 2006
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS010093L PA Primary

Addresses

Primary practice location

4314 N George Street Ext
Manchester, PA 17345-1307

Mailing address

4314 N. George St. Ext'D
Manchester, PA 17345
Phone (717) 266-0252

Other identifiers 2

IdentifierTypeStateIssuer
01808034MedicaidPA
039846OtherPAGROUP PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jperry62227@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110524000545 PA Practitioner - Family Practice 8921284100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Pinnacle Health Regional Physicians Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Memorial Enterprises, Inc. Past Accepting new patients
Memorial Enterprises Inc Family Medicine Past Accepting new patients
Pinnacle Health Regional Physicians Family Medicine Past Accepting new patients
Memorial Enterprises, Inc. Past Accepting new patients
Memorial Enterprises, Inc. Family Medicine Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

4314 N George Street Ext
Manchester, PA 17345
Phone (717) 266-0252

55 Old Farm Ln
Shrewsbury, PA 17361
Phone (717) 235-4893

1232 Greensprings Dr
York, PA 17402
Phone (717) 207-4800

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1871565341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 N. GEORGE ST. EXT'D",
            "city": "MANCHESTER",
            "state": "PA",
            "postal_code": "17345",
            "telephone_number": "717-266-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 N GEORGE STREET EXT",
            "city": "MANCHESTER",
            "state": "PA",
            "postal_code": "173451307",
            "telephone_number": "717-266-0252",
            "fax_number": "717-266-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JEFFREY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010093L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01808034",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "039846",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jperry62227@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "4314 N George Street Ext",
            "city": "Manchester",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173451307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, PA

Sources for this page

Verify at the official NPI Registry.