CYNTHIA DAWN JEFFERSON APRN
NPI 1194280321
Midwife in Gallipolis, OH

Active since February 01, 2019PECOS EnrolledAccepts Medicare Assignment
81.42/100
CMS Quality Rating
100 JACKSON PIKE, GALLIPOLIS, OH 45631(740) 855-5937(740) 446-5082 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2021, Feb 1, 2019 (2 updates tracked since 2019).

About Cynthia Dawn Jefferson Aprn NPPES

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

CYNTHIA DAWN JEFFERSON APRN (NPI 1194280321) is an individual midwife in Gallipolis, Ohio and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194280321
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameCYNTHIA DAWN JEFFERSONCredential: APRN
Location Address100 JACKSON PIKEGallipolis, OH 45631-1560
Mailing Address100 Jackson PikeGallipolis, OH 45631-1560 · (740) 446-5000 · Fax (740) 446-5082
Fax(740) 446-5082
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 1, 2019
Last NPPES UpdateDecember 26, 20232 updates tracked since enumeration
NPPES CertifiedDecember 26, 2023
NPI 1194280321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
100 JACKSON PIKE, Gallipolis, OH 45631

Accepted 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

Cynthia Dawn Jefferson Aprn 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 ID6406196203
PECOS Enrollment IDI20190313002830
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 2

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.
21 services17 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.28
Promoting Interoperability100
Improvement Activities40
Cost57.96

Reported Quality Measures

Breast Cancer Screening
82%122 patients4/55-star benchmark: 93%
Colorectal Cancer Screening
62%171 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
77%115 patients4/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
37%530 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
48%905 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 736 patients
Patients screened: 97% · 736 patients
57%183 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Anesthetist, Certified Registered
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Emergency Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Orthopaedic Surgery
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Audiologist
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner (Family)
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Internal Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Pediatrics
100 JACKSON PIKE
GALLIPOLIS, OH 45631

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 Cynthia Jefferson's NPI number?

The NPI number for Cynthia Jefferson is 1194280321. It was assigned to this individual provider in the NPPES registry on February 1, 2019.

Where is Cynthia Jefferson located?

Cynthia Jefferson practices at 100 Jackson Pike, Gallipolis, OH 45631. The listed phone number is (740) 855-5937.

What is Cynthia Jefferson's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Cynthia Jefferson enrolled in Medicare?

Yes. Cynthia Jefferson 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 Cynthia Jefferson accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, Highmark Blue Cross Blue Shield West Virginia and MedMutual list Cynthia Jefferson 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 Cynthia Jefferson affiliated with any hospitals?

According to CMS data, Cynthia Jefferson is affiliated with Holzer Medical Center.

When was this NPI record last updated?

The NPPES record for Cynthia Jefferson was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.