MR. JEFFREY SAM PORTER MD
NPI 1164496345
Emergency Medicine in Brainerd, MN

Q: What is Jeffrey Porter's NPI number?

The NPI number for Jeffrey Porter is 1164496345. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Q: What is Jeffrey Porter's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Porter was last updated on January 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 February 15, 2006PECOS Enrolled

523 N 3RD ST, BRAINERD, MN 56401(218) 829-2861 Get Directions Write a Review

NPPES record last updated: January 29, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mr. Jeffrey Sam Porter Md NPPES

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

MR. JEFFREY SAM PORTER MD (NPI 1164496345) is an individual emergency medicine provider in Brainerd, Minnesota, licensed in Minnesota (46608) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164496345

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMR. JEFFREY SAM PORTERCredential: MD

Location Address523 N 3RD STBrainerd, MN 56401-3054

Mailing Address1406 6th Ave NSaint Cloud, MN 56303-1900 · (320) 253-1596

Phone(218) 829-2861

Sole ProprietorNo

Enumeration DateFebruary 15, 2006

Last NPPES UpdateJanuary 29, 2016

✔ NPI 1164496345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MN · 46608

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

523 N 3RD ST, Brainerd, MN 56401

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Other Identifiers 3

Medicare UPINI05758

Medicare ID-Type Unspecified930002226MN

Medicaid133444100MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeffrey Sam Porter 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 Jeffrey Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Joseph's Medical Center

Same address

Anesthesiology

523 N 3RD ST
Brainerd, MN 56401

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: St Josephs Medical Center
340 clinicians in this Medicare group

NPI 1336465038 (218) 829-2861

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

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.

164 services158 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.

80 services77 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

27 services27 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.

26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56401 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

ALISHA K NESS DO

Hospitalist