Individual provider Active NPI

Jayson Loeffert, DO

  • Family Medicine Physician
  • Middletown, PA
National Provider Identifier
1952663601
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS017495 Issued in PA
Practice address
3100 Schoolhouse Rd
Middletown, PA 17057-3548
Phone
(717) 948-5180
Fax
(717) 948-0488
NPI assigned
Jun 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT014920 PA
Family Medicine Physician 207Q00000X OS017495 PA Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X OS017495 PA

Addresses

Primary practice location

3100 Schoolhouse Rd
Middletown, PA 17057-3548

Mailing address

3100 Schoolhouse Rd
Middletown, PA 17057-3548
Phone (717) 948-5180

Other identifiers 1

IdentifierTypeStateIssuer
OS017495OtherPASTATE LICENSE-

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
I20160804001807 PA Practitioner - Family PracticePractitioner - Sports Medicine 3274827803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

3100 Schoolhouse Rd
Middletown, PA 17057-3548
Phone (717) 948-5180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT014920PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jul 1, 2016 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Sports Medicine CurrentSince Jul 1, 2016 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Family Medicine Past Accepting new patients

Locations

30 Hope Dr
Ste 2400
Hershey, PA 17033
Phone (717) 531-5638

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

3100 Schoolhouse Rd
Middletown, PA 17057
Phone (717) 948-5180

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1952663601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SCHOOLHOUSE RD",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170573548",
            "telephone_number": "717-948-5180",
            "fax_number": "717-948-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SCHOOLHOUSE RD",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170573548",
            "telephone_number": "717-948-5180",
            "fax_number": "717-948-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEFFERT",
        "first_name": "JAYSON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT014920",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017495",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "OS017495",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE-",
            "identifier": "OS017495",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, PA

Sources for this page

Verify at the official NPI Registry.