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DAVID JANSMA M.D.
NPI 1013974633
Family Medicine in Beaver, PA

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
1000 DUTCH RIDGE RD, BEAVER, PA 15009(724) 774-0232(724) 770-7963 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David Jansma M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID JANSMA M.D. (NPI 1013974633) is an individual family medicine provider in Beaver, Pennsylvania, licensed in Pennsylvania (MD042572L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Heritage Valley Beaver, and is a graduate of Wayne State University School Of Medicine (1988).

NPPES Registry Identity

NPI1013974633
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID JANSMACredential: M.D.
Location Address1000 DUTCH RIDGE RDBeaver, PA 15009-9727
Mailing Address1000 Dutch Ridge RdBeaver, PA 15009-9727 · (724) 774-0232 · Fax (724) 770-7963
Phone(724) 774-0232
Fax(724) 770-7963
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1988
Enumeration DateApril 27, 2006
Last NPPES UpdateSeptember 16, 2015
✔ NPI 1013974633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD042572L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1000 DUTCH RIDGE RD, Beaver, PA 15009
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Other Identifiers 9

Medicaid0849890OH
Medicare UPINE89754PA
Other677120PA · Blue Shield
Medicare PIN103449PA
Medicaid0012615850001PA
Medicare PIN677120H51PA
Other204242PA · Upmc
Medicare PIN080094344
Medicare PINP00377695

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Jansma M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587606850
PECOS Enrollment IDI20060828000244
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show David Jansma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heritage Valley Multispecialty Group, Inc
0.2 mi
Orthopaedic Surgery
1030 BEANER HOLLOW RD
Beaver, PA 15009
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 217 clinicians in this Medicare group
NPI 1073089918 (724) 775-4242

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
289 services152 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
120 services120 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
115 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services61 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
62 services62 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
61 services61 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390036
Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County
Emergency services

Heritage Valley Sewickley

Acute Care Hospitals · Sewickley, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390037
Location720 Blackburn RoadSewickley, PA 15143 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers13 claims37 services$6.24 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers17 claims91 services$1.90 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers18 claims18 services$28.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers25 claims25 services$79.78 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$31.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN MILLER CRNA
Nurse Anesthetist, Certified Registered
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Beaver County (724) 773-4621
VALLEY MEDICAL FACILITIES, INC.
Clinic/Center (Recovery Care)
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Beaver County (724) 770-7998
YUVAL RYKACZEWSKI DO
Emergency Medicine
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Beaver County (877) 771-4847
PAMELA A MANSELL CRNA
Nurse Anesthetist, Certified Registered
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Beaver County (724) 773-4621
DR. MICHAEL WILLIAM GABRIELE M.D.
Radiology (Diagnostic Radiology)
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Beaver County (724) 773-4567
EDWARD ROBERT VILLELLA II M.D.
Surgery (Vascular Surgery)
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Beaver County (724) 773-8289
CURAHEALTH HERITAGE VALLEY, LLC
Long Term Care Hospital
1000 DUTCH RIDGE RD, FLOOR 2
BEAVER, PA 15009
Beaver County (724) 773-8480
DR. NADEEM IQBAL M.D.
Radiology (Diagnostic Radiology)
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Beaver County (724) 773-4567

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Jansma's NPI number?

The NPI number for David Jansma is 1013974633. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is David Jansma located?

David Jansma practices at 1000 Dutch Ridge Rd, Beaver, PA 15009. The listed phone number is (724) 774-0232.

What is David Jansma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Jansma enrolled in Medicare?

Yes. David Jansma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for David Jansma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Jansma reassigns Medicare benefits to Heritage Valley Multispecialty Group, Inc (Beaver, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Jansma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Jansma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and CareSource list David Jansma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Jansma affiliated with any hospitals?

According to CMS data, David Jansma is affiliated with Heritage Valley Beaver, Heritage Valley Sewickley and Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for David Jansma was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.