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DR. DAVID LOUIS JETMORE MD
NPI 1215939467
Otolaryngology in Richmond, IN

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
1434 CHESTER BLVD., RICHMOND, IN 47374(765) 966-1600(765) 962-9641 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2021, Nov 5, 2020, Mar 16, 2017 (3 updates tracked since 2017).

About Dr. David Louis Jetmore Md NPPES

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

DR. DAVID LOUIS JETMORE MD (NPI 1215939467) is an individual otolaryngology provider in Richmond, Indiana, licensed in Indiana (01023140A) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1970).

NPPES Registry Identity

NPI1215939467
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. DAVID LOUIS JETMORECredential: MD
Location Address1434 CHESTER BLVD.Richmond, IN 47374-1919
Mailing Address1100 Reid Pkwy, Medical Staff ServicesRichmond, IN 47374-1157 · (765) 983-3127 · Fax (765) 983-3219
Phone(765) 966-1600
Fax(765) 962-9641
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1970
Enumeration DateJune 1, 2005
Last NPPES UpdateMay 14, 20213 updates tracked since enumeration
NPPES CertifiedMay 14, 2021
✔ NPI 1215939467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IN · 01023140A
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.
Also ListedSpecialistTaxonomy 174400000X · License 01023140A (IN)
1434 CHESTER BLVD., Richmond, IN 47374
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Other Identifiers 3

Medicaid100256310IN
Medicaid0544192OH
Other000000841132IN · Anthem

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Louis Jetmore Md 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 ID4082696026
PECOS Enrollment IDI20101025001372
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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
240 services238 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
227 services225 patients

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

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

ALEXANDRIA ULRICH AUD
Audiologist
1434 CHESTER BLVD., REID ENT
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 David Jetmore's NPI number?

The NPI number for David Jetmore is 1215939467. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is David Jetmore located?

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

What is David Jetmore's specialty?

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

Is David Jetmore enrolled in Medicare?

Yes. David 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 David Jetmore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list David 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.

When was this NPI record last updated?

The NPPES record for David Jetmore was last updated on May 14, 2021. 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.