JEFFRY JAMES YOUNG DO
NPI 1114946712
Pediatrics in Green Bay, WI

Q: What is Jeffry Young's NPI number?

The NPI number for Jeffry Young is 1114946712. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Jeffry Young's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffry Young was last updated on June 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 18, 2006PECOS Enrolled

1160 KEPLER DR, GREEN BAY, WI 54311(920) 288-5500(920) 288-5510 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2025, Nov 24, 2021, Oct 9, 2020 and 1 more (4 updates tracked since 2019).

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About Jeffry James Young Do NPPES

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

JEFFRY JAMES YOUNG DO (NPI 1114946712) is an individual pediatrics provider in Green Bay, Wisconsin, licensed in Wisconsin (31970) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1114946712

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJEFFRY JAMES YOUNGCredential: DO

Location Address1160 KEPLER DRGreen Bay, WI 54311-8321

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 288-5500

Fax(920) 288-5510

Sole ProprietorNo

Enumeration DateJuly 18, 2006

Last NPPES UpdateJune 23, 20254 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1114946712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 31970

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1160 KEPLER DR, Green Bay, WI 54311

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Secondary Practice Location 1

Location 11821 S Webster AveGreen Bay, WI 54301-2253 · Phone (920) 496-4700 · Fax (920) 496-4705

Other Identifiers 1

Medicaid30049900WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffry James Young Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 54311 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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