SHANE JEFFERS M.D.
NPI 1053707893
Family Medicine in Hilliard, OH

Q: What is Shane Jeffers's NPI number?

The NPI number for Shane Jeffers is 1053707893. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Q: What is Shane Jeffers's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane Jeffers was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment

3958 BROWN PARK DR STE D, HILLIARD, OH 43026(260) 483-9081 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 10, 2026, Feb 13, 2023, Sep 23, 2019 and 1 more (4 updates tracked since 2016).

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About Shane Jeffers M.d. NPPES

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

SHANE JEFFERS M.D. (NPI 1053707893) is an individual family medicine provider in Hilliard, Ohio, licensed in Ohio (35144082) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Shelby.

NPPES Registry Identity

NPI1053707893

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSHANE JEFFERSCredential: M.D.

Location Address3958 BROWN PARK DR STE DHilliard, OH 43026-1160

Mailing AddressPo Box 1431Charlotte, NC 28201-1431 · (877) 504-2049

Phone(260) 483-9081

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 8, 2015

Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1053707893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OH · 35144082✔ Licensed in NY · 300918

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.

3958 BROWN PARK DR STE D, Hilliard, OH 43026

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Secondary Practice Location 1

Location 1100 Rogers LnShelby, OH 44875-1759 · Phone (419) 347-1313 · Fax (419) 342-2363

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual 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

Shane Jeffers 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 ID8123305604

PECOS Enrollment IDI20220302001457

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 Reassignments

Medicare enrollment records show Shane Jeffers reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eventus Ecs - Ohio LLC

Same address

Nurse Practitioner

3958 BROWN PARK DR STE D
Hilliard, OH 43026

Reassigned Medicare billing, Ohio enrollment
82 clinicians in this Medicare group

NPI 1972321842 (855) 743-2247

Mount Carmel Health Providers Inc

8.5 mi

Family Medicine

1495 MORSE RD
Columbus, OH 43229

Reassigned Medicare billing, Ohio enrollment
Medicare enrollment name: Mount Carmel Healthproviders Inc
157 clinicians in this Medicare group

NPI 1831364876 (614) 267-1440

Eventus Wholehealth Midwest Inc

157 mi

Family Medicine

2100 MIDWAY ST # 3722
Columbus, IN 47201

Reassigned Medicare billing, Ohio enrollment
98 clinicians in this Medicare group

NPI 1386252757 (260) 483-9081

Eventus Ecs, Inc

161 mi

Nurse Practitioner

150 W MARKET ST STE 400
Indianapolis, IN 46204

Reassigned Medicare billing, Ohio enrollment
104 clinicians in this Medicare group

NPI 1073353496 (855) 743-2247

Extended Care Specialists, Inc

241 mi

Adult Medicine

8398 MISSISSIPPI ST FL 2
Merrillville, IN 46410

Reassigned Medicare billing, Ohio enrollment
134 clinicians in this Medicare group

NPI 1134146079 (855) 743-2247

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 4

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.

425 services165 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.

80 services80 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

72 services36 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.

44 services41 patients

Hospital Affiliations CMS Care Compare 5

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Avita Ontario

Acute Care Hospitals · Ontario, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360365

Location715 Richland MallOntario, OH 44906 · Richland County

Emergency services Birthing friendly

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361321

Location639 West Main StreetBarnesville, OH 43713 · Belmont County

Emergency services

Galion Community Hospital

Critical Access Hospitals · Galion, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number361325

Location269 Portland Way SouthGalion, OH 44833 · Crawford County

Birthing friendly

Adena Pike Medical Center

Critical Access Hospitals · Waverly, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361334

Location100 Dawn LaneWaverly, OH 45690 · Pike County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 2

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

5 suppliers11 claims29 services$4.45 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers12 claims19 services$0.73 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 13

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

ANDRA CAVEN JOHNSON LSW

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