Jay Deimel, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

MD461322 Issued in PA

Practice address

2315 Myrtle St Ste L10
Erie, PA 16502-4611

Phone

(814) 454-2401

Fax

(814) 459-5992

NPI assigned

Apr 17, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Sports MedicineAlso: Orthopedic Surgery

Education

Loyola University of Chicago, Stritch School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians

Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

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.

• St Vincent Medical Education and Research Institute Inc

  • Internal Medicine Physician
  • Erie, PA
  • NPI 1902881477
  Medicare reassignment Care Compare group NPD
• Allegheny Clinic Radiology

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1992183164
  NPD (past)

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

• Saint Vincent Health Center

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1861435042
  Care Compare affiliation

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1992948186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE L10",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024611",
            "telephone_number": "814-454-2401",
            "fax_number": "814-459-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE L10",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024611",
            "telephone_number": "814-454-2401",
            "fax_number": "814-459-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIMEL",
        "first_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-17",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125054632",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "MD461322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdeimel148761@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2315 Myrtle St Ste L10",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165024611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Deegan, DO
• Ivy Elizabeth Deegan, CRNP
• Deerfield Behavioral Health, Inc.
• Andrea Lynne Defelice, RN, BSN
• Jeffrey A Defranc, DO
• Joseph F Deimel, M.D.
• Kevin Deiner
• Elizabeth Dejaeghere, PA-C
• Matthew Dejohn, M.D.
• Mia Isabelle Dela Merced

• Sports Medicine (Orthopaedic Surgery) Physician in Erie, PA
• Providers in Erie, PA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.