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LOIS B JETTY MD
NPI 1154342020
Pediatrics in Chillicothe, OH

Active since July 23, 2006PECOS Enrolled
4439 STATE ROUTE 159, STE G10, CHILLICOTHE, OH 45601(740) 779-4300(740) 779-4390 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2020, Nov 6, 2020 (2 updates tracked since 2020).

About Lois B Jetty Md NPPES

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

LOIS B JETTY MD (NPI 1154342020) is an individual pediatrics provider in Chillicothe, Ohio, licensed in Ohio (35.068325) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154342020
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLOIS B JETTYCredential: MD
Location Address4439 STATE ROUTE 159, STE G10Chillicothe, OH 45601-8207
Mailing Address4439 State Route 159 Ste G10Chillicothe, OH 45601-7708 · (740) 779-4300 · Fax (740) 779-4391
Phone(740) 779-4300
Fax(740) 779-4390
Sole ProprietorNo
Enumeration DateJuly 23, 2006
Last NPPES UpdateNovember 19, 20202 updates tracked since enumeration
NPPES CertifiedNovember 19, 2020
✔ NPI 1154342020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.068325
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.
4439 STATE ROUTE 159, Chillicothe, OH 45601
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Other Identifiers 1

Medicaid0189933OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lois B Jetty Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Lois Jetty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adena Medical Group LLC
0.3 mi
Family Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 763 clinicians in this Medicare group
NPI 1235468083 (740) 779-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45601 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

GOPI K GUNDUMALLA MD
Internal Medicine (Nephrology)
4439 STATE ROUTE 159, STE 204
CHILLICOTHE, OH 45601
Ross County (740) 779-8728
REEM MOHAMMAD KHEIRO ALSHIYYAB MD
Internal Medicine
4439 STATE ROUTE 159, SUITE 150
CHILLICOTHE, OH 45601
Ross County (740) 779-7070
ADENA HEALTH SYSTEM
Otolaryngology (Facial Plastic Surgery)
4439 STATE ROUTE 159, SUITE 100
CHILLICOTHE, OH 45601
Ross County (740) 779-4393
DR. LINDSEY DOHSE M.D.
Dermatology (Dermatopathology)
4439 STATE ROUTE 159, SUITE G50
CHILLICOTHE, OH 45601
Ross County (570) 779-8580
ALESSANDRO L. MARANZANA M.D.
Pediatrics
4439 STATE ROUTE 159, SUITE G10
CHILLICOTHE, OH 45601
Ross County (740) 779-4300
OHIO DERMATOLOGY AND SKIN CANCER, LTD
Dermatology
4439 STATE ROUTE 159, SUITE 150
CHILLICOTHE, OH 45601
Ross County (740) 779-4700
MICHELLE LYNN SMITH CNP
Nurse Practitioner (Pediatrics)
4439 STATE ROUTE 159, SUITE G10
CHILLICOTHE, OH 45601
Ross County (740) 779-4300
EMILEY BLAKE DO
Obstetrics & Gynecology
4439 STATE ROUTE 159, STE 120
CHILLICOTHE, OH 45601
Ross County (740) 779-7275

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 Lois Jetty's NPI number?

The NPI number for Lois Jetty is 1154342020. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Lois Jetty located?

Lois Jetty practices at 4439 State Route 159 Ste G10, Chillicothe, OH 45601. The listed phone number is (740) 779-4300.

What is Lois Jetty's specialty?

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

Is Lois Jetty enrolled in Medicare?

Yes. Lois Jetty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lois Jetty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lois Jetty reassigns Medicare benefits to Adena Medical Group LLC (Chillicothe, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lois Jetty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lois Jetty accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Lois Jetty 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.

When was this NPI record last updated?

The NPPES record for Lois Jetty was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.