SUSAN EMILY JEVERT-EICHORN DO
NPI 1053756510
Family Medicine in Otsego, MI

Q: What is Susan Jevert-eichorn's NPI number?

The NPI number for Susan Jevert-eichorn is 1053756510. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Q: What is Susan Jevert-eichorn's specialty?

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

Q: Is Susan Jevert-eichorn enrolled in Medicare?

No. Susan Jevert-eichorn has opted out of Medicare through May 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since May 09, 2013Opted out of Medicare · through May 1, 2028

900 DIX ST STE 300, OTSEGO, MI 49078(269) 276-4347(269) 496-3041 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 1, 2022, Dec 12, 2016 (2 updates tracked since 2016).

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About Susan Emily Jevert-eichorn Do NPPES

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

SUSAN EMILY JEVERT-EICHORN DO (NPI 1053756510) is an individual family medicine provider in Otsego, Michigan, licensed in Michigan (5101020470) and active in the NPI registry since May 2013. She has opted out of Medicare through May 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053756510

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSUSAN EMILY JEVERT-EICHORNCredential: DO

Location Address900 DIX ST STE 300Otsego, MI 49078-1544

Mailing Address900 Dix St Ste 300Otsego, MI 49078-1544

Phone(269) 276-4347

Fax(269) 496-3041

Sole ProprietorNo

Enumeration DateMay 9, 2013

Last NPPES UpdateDecember 19, 20232 updates tracked since enumeration

NPPES CertifiedDecember 19, 2023

✔ NPI 1053756510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101020470

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.

900 DIX ST STE 300, Otsego, MI 49078

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Other Identifiers 1

Other5390367MI · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Emily Jevert-eichorn Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 1, 2022 through May 1, 2028.

Opt-Out Effective DateMay 1, 2022

Opt-Out In Effect ThroughMay 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49078 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $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.

Other Providers at the Same Location NPPES

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

WESLEY EICHORN DO

Family Medicine

900 DIX ST STE 300
OTSEGO, MI 49078

Allegan County (269) 337-4400

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 Susan Jevert-eichorn's NPI number?

The NPI number for Susan Jevert-eichorn is 1053756510. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Where is Susan Jevert-eichorn located?

Susan Jevert-eichorn practices at 900 Dix St Ste 300, Otsego, MI 49078. The listed phone number is (269) 276-4347.

What is Susan Jevert-eichorn's specialty?

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

Is Susan Jevert-eichorn enrolled in Medicare?

No. Susan Jevert-eichorn has opted out of Medicare through May 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Susan Jevert-eichorn was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.