JEFFRY MUTUC MD, MPH
NPI 1073044046
Family Medicine in New York, NY

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
645 10TH AVE, NEW YORK, NY 10036(212) 265-4500 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2020, Mar 22, 2017 (2 updates tracked since 2017).

About Jeffry Mutuc Md, Mph NPPES

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

JEFFRY MUTUC MD, MPH (NPI 1073044046) is an individual family medicine provider in New York, New York, licensed in New York (300176) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073044046
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFFRY MUTUCCredential: MD, MPH
Location Address645 10TH AVENew York, NY 10036-2904
Mailing Address645 10th AveNew York, NY 10036-2904 · (212) 265-4500
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 22, 2017
Last NPPES UpdateAugust 18, 20202 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
NPI 1073044046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 300176
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.

645 10TH AVE, New York, NY 10036

Secondary Practice Location 1

Location 12440 W Haddon AveChicago, IL 60622-2945 · Phone (773) 704-5249

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeffry Mutuc Md, Mph 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 ID8628314762
PECOS Enrollment IDI20201123002527
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10036 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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

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
4 suppliers12 claims22 services$5.09 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.

Pediatrics
645 10TH AVE
NEW YORK, NY 10036
Psychiatry & Neurology (Psychiatry)
645 10TH AVE
NEW YORK, NY 10036
Registered Nurse
645 10TH AVE
NEW YORK, NY 10036
Registered Nurse
645 10TH AVE
NEW YORK, NY 10036
Social Worker
645 10TH AVE
NEW YORK, NY 10036
Pharmacy (Community/Retail Pharmacy)
645 10TH AVE
NEW YORK, NY 10036
Registered Nurse
645 10TH AVE
NEW YORK, NY 10036
Social Worker (Clinical)
645 10TH AVE
NEW YORK, NY 10036

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 Jeffry Mutuc's NPI number?

The NPI number for Jeffry Mutuc is 1073044046. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Jeffry Mutuc located?

Jeffry Mutuc practices at 645 10th Ave, New York, NY 10036. The listed phone number is (212) 265-4500.

What is Jeffry Mutuc's specialty?

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

Is Jeffry Mutuc enrolled in Medicare?

Yes. Jeffry Mutuc 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.

When was this NPI record last updated?

The NPPES record for Jeffry Mutuc was last updated on August 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.