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DR. THOMAS JETMORE M.D.
NPI 1104274463
Otolaryngology in Richmond, IN

Active since May 27, 2016PECOS EnrolledAccepts Medicare Assignment
1434 CHESTER BLVD, RICHMOND, IN 47374(765) 966-1600(765) 962-9641 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2021, Jun 29, 2021 (2 updates tracked since 2021).

About Dr. Thomas Jetmore M.d. NPPES

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

DR. THOMAS JETMORE M.D. (NPI 1104274463) is an individual otolaryngology provider in Richmond, Indiana, licensed in Indiana (01086136A) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Henry County Memorial Hospital, and is a graduate of Indiana University School Of Medicine (2016).

NPPES Registry Identity

NPI1104274463
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. THOMAS JETMORECredential: M.D.
Location Address1434 CHESTER BLVDRichmond, IN 47374-1947
Mailing Address1100 Reid PkwyRichmond, IN 47374-1157 · (765) 966-1600 · Fax (765) 962-9641
Phone(765) 966-1600
Fax(765) 962-9641
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2016
Enumeration DateMay 27, 2016
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
✔ NPI 1104274463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IN · 01086136A
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.
1434 CHESTER BLVD, Richmond, IN 47374
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Thomas Jetmore 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 ID9436550308
PECOS Enrollment IDI20210629002958
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 10

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 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.
261 services195 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.
192 services136 patients
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.
166 services135 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
149 services149 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.
123 services123 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.
71 services60 patients

Hospital Affiliations CMS Care Compare 2

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

Henry County Memorial Hospital

Acute Care Hospitals · New Castle, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150030
Location1000 N 16th StNew Castle, IN 47362 · Henry County
Emergency services Birthing friendly

Reid Health

Acute Care Hospitals · Richmond, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150048
Location1100 Reid PkwyRichmond, IN 47374 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47374 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 15

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

JESSICA LIMBURG NP
Nurse Practitioner (Family)
1434 CHESTER BLVD
RICHMOND, IN 47374
Wayne County (765) 966-1600
LORETTA A RYAN M.D.
Pediatrics
1434 CHESTER BLVD
RICHMOND, IN 47374
Wayne County (765) 966-5527
REID PHYSICIAN ASSOCIATES, INC.
Clinic/Center (Rural Health)
1434 CHESTER BLVD
RICHMOND, IN 47374
Wayne County (765) 966-5527
PEDIATRIC & INTERNAL MEDICINE CENTER
Internal Medicine
1434 CHESTER BLVD
RICHMOND, IN 47374
Wayne County (765) 966-5527
KRISTY L CARTER PA-C
Physician Assistant (Surgical)
1434 CHESTER BLVD
RICHMOND, IN 47374
Wayne County (765) 966-1600
SYDNEY JIANG M.D.
Otolaryngology
1434 CHESTER BLVD
RICHMOND, IN 47374
Wayne County (765) 966-1600
DR. JASON EVAN CASSELMAN D.O.
Internal Medicine (Allergy & Immunology)
1434 CHESTER BLVD, REID ENT
RICHMOND, IN 47374
Wayne County (765) 966-9600
SARA KRISTINE HANSON AU.D.
Audiologist
1434 CHESTER BLVD
RICHMOND, IN 47374
Wayne County (765) 966-1600

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 Thomas Jetmore's NPI number?

The NPI number for Thomas Jetmore is 1104274463. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Thomas Jetmore located?

Thomas Jetmore practices at 1434 Chester Blvd, Richmond, IN 47374. The listed phone number is (765) 966-1600.

What is Thomas Jetmore's specialty?

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

Is Thomas Jetmore enrolled in Medicare?

Yes. Thomas Jetmore 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 Thomas Jetmore accept?

Health plans from CareSource list Thomas Jetmore 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 Thomas Jetmore affiliated with any hospitals?

According to CMS data, Thomas Jetmore is affiliated with Henry County Memorial Hospital and Reid Health.

When was this NPI record last updated?

The NPPES record for Thomas Jetmore was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.