DR. BRIAN J TOLLEFSON M.D.
NPI 1093747776
Family Medicine - Sports Medicine in Jackson, MS

Q: What is Brian Tollefson's NPI number?

The NPI number for Brian Tollefson is 1093747776. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Brian Tollefson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Brian Tollefson was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment

69.83/100

CMS Quality Rating

2500 N STATE ST, JACKSON, MS 39216(601) 984-5571(601) 984-5583 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2023, Feb 14, 2017 (2 updates tracked since 2017).

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About Dr. Brian J Tollefson M.d. NPPES

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

DR. BRIAN J TOLLEFSON M.D. (NPI 1093747776) is an individual sports medicine provider in Jackson, Mississippi, licensed in Mississippi (18987) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of University Of Minnesota Medical School (2000).

NPPES Registry Identity

NPI1093747776

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. BRIAN J TOLLEFSONCredential: M.D.

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address504 Clinton Center Drive, Cbo Suite 4300Clinton, MS 39056-4500 · (601) 815-2005 · Fax (601) 984-5583

Phone(601) 984-5571

Fax(601) 984-5583

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2000

Enumeration DateJuly 6, 2006

Last NPPES UpdateMarch 24, 20232 updates tracked since enumeration

NPPES CertifiedMarch 23, 2023

✔ NPI 1093747776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in MS · 18987

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 18987 (MS)

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 4

OtherP00772006MS · Railroad Number

Medicaid178297AL

Other512I930490MS · Medicare Ptan Effective 7/17/09

Medicaid1796778MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

Dr. Brian J Tollefson 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 ID6103820782

PECOS Enrollment IDI20060913000349

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.

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

52 services52 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

48 services47 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

17 services17 patients

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.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number250001

Location2500 N State StJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.08

Promoting Interoperability

Improvement Activities

Cost

48.31

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.

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