1. Home
  2. Directory
  3. Alaska
  4. Eagle River
  5. Otolaryngology
  6. NPI Profile

DR. JEROME O LIST D.D.S., M.D.
NPI 1093776080
Otolaryngology in Eagle River, AK

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
12641 OLD GLENN HWY STE 201, EAGLE RIVER, AK 99577(907) 561-1421(907) 561-0327 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2024, Oct 5, 2018 (2 updates tracked since 2018).

About Dr. Jerome O List D.d.s., M.d. NPPES

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

DR. JEROME O LIST D.D.S., M.D. (NPI 1093776080) is an individual otolaryngology provider in Eagle River, Alaska, licensed in Alaska (2607) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with United Health Services Hospitals, Inc, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1093776080
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JEROME O LISTCredential: D.D.S., M.D.
Location Address12641 OLD GLENN HWY STE 201Eagle River, AK 99577-7040
Mailing Address3831 Piper St Ste S433Anchorage, AK 99508-6900 · (907) 561-1421 · Fax (907) 561-0327
Phone(907) 561-1421
Fax(907) 561-0327
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMarch 29, 2006
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedMarch 11, 2024
✔ NPI 1093776080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in AK · 2607✔ Licensed in NY · 329599
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
12641 OLD GLENN HWY STE 201, Eagle River, AK 99577
Open in Google Maps ↗

Other Identifiers 1

MedicaidMD1123AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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. Jerome O List D.d.s., 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 ID7517950603
PECOS Enrollment IDI20240607000922
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 6

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
54 services43 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
47 services47 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
40 services32 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.
33 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99577 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
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
Most-billed visit code 99213
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.

MRS. SARAH LYNN CARVER PA-C
Physician Assistant
12641 OLD GLENN HWY STE 201
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 726-0368

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 Jerome List's NPI number?

The NPI number for Jerome List is 1093776080. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Jerome List located?

Jerome List practices at 12641 Old Glenn Hwy Ste 201, Eagle River, AK 99577. The listed phone number is (907) 561-1421.

What is Jerome List's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jerome List enrolled in Medicare?

Yes. Jerome List 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.

What insurance does Jerome List accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jerome List 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 Jerome List affiliated with any hospitals?

According to CMS data, Jerome List is affiliated with United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Jerome List was last updated on April 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.