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JENNIFER ANN CIVITELLA MD
NPI 1225012586
Family Medicine in Peterborough, NH

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
454 OLD STREET RD, SUITE 207, PETERBOROUGH, NH 03458(603) 924-4664(603) 924-8653 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2020, Nov 9, 2015 (2 updates tracked since 2015).

About Jennifer Ann Civitella Md NPPES

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

JENNIFER ANN CIVITELLA MD (NPI 1225012586) is an individual family medicine provider in Peterborough, New Hampshire, licensed in New Hampshire (12233) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Cheshire Medical Center, and is a graduate of University Of South Carolina School Of Medicine (1995).

NPPES Registry Identity

NPI1225012586
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJENNIFER ANN CIVITELLACredential: MD
Location Address454 OLD STREET RD, SUITE 207Peterborough, NH 03458-1200
Mailing Address454 Old Street Rd, Suite 207Peterborough, NH 03458-1200 · (603) 924-4664 · Fax (603) 924-8653
Phone(603) 924-4664
Fax(603) 924-8653
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1995
Enumeration DateNovember 30, 2005
Last NPPES UpdateMarch 10, 20202 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
✔ NPI 1225012586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NH · 12233
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
454 OLD STREET RD, Peterborough, NH 03458
Open in Google Maps ↗

Other Names 1

Former Name (1)Jenny Mccallen Md

Other Identifiers 1

Medicaid30204083NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield 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

Jennifer Ann Civitella 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 ID1456345867
PECOS Enrollment IDI20040409000031
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.

Hospital Affiliations CMS Care Compare 2

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

Cheshire Medical Center

Acute Care Hospitals · Keene, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300019
Location580 Court StreetKeene, NH 03431 · Cheshire County
Emergency services Birthing friendly

Monadnock Community Hospital

Critical Access Hospitals · Peterborough, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301309
Location452 Old Street RoadPeterborough, NH 03458 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03458 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims34 services$2.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$106.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ANNETTE RENEE BROOKS APRN
Nurse Practitioner (Adult Health)
454 OLD STREET RD, SUITE 107
PETERBOROUGH, NH 03458
Hillsborough County (603) 924-4671
LUCAS D SHIPPEE DO
Internal Medicine
454 OLD STREET RD, SUITE 301
PETERBOROUGH, NH 03458
Hillsborough County (603) 924-4468
THEODORE RENNA, MD PA
Eyewear Supplier
454 OLD STREET RD, SUITE 206
PETERBOROUGH, NH 03458
Hillsborough County (603) 924-0002
MONADNOCK EYE PHYSICIANS AND SURGEONS, P.C.
Ophthalmology
454 OLD STREET RD, STE 204
PETERBOROUGH, NH 03458
Hillsborough County (603) 924-7070
RAYNOR DENTAL PETERBOROUGH, PLLC
Dentist (General Practice)
454 OLD STREET RD
PETERBOROUGH, NH 03458
Hillsborough County (603) 924-9688
SUZANNE M SCHOEL MD
Pediatrics
454 OLD STREET RD, SUITE 106
PETERBOROUGH, NH 03458
Hillsborough County (603) 924-7101
DR. PETER MARIO CERRONI DMD
Dentist (General Practice)
454 OLD STREET RD, SUITE 102
PETERBOROUGH, NH 03458
Hillsborough County (603) 924-9688
DR. MICHELLE A URBAN MD
Family Medicine
454 OLD STREET RD, SUITE 207
PETERBOROUGH, NH 03458
Hillsborough County (603) 924-4664

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 Jennifer Civitella's NPI number?

The NPI number for Jennifer Civitella is 1225012586. It was assigned to this individual provider in the NPPES registry on November 30, 2005. The provider is also known as Jenny Mccallen MD.

Where is Jennifer Civitella located?

Jennifer Civitella practices at 454 Old Street Rd Suite 207, Peterborough, NH 03458. The listed phone number is (603) 924-4664.

What is Jennifer Civitella's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jennifer Civitella enrolled in Medicare?

Yes. Jennifer Civitella 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 Jennifer Civitella accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Jennifer Civitella 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 Jennifer Civitella affiliated with any hospitals?

According to CMS data, Jennifer Civitella is affiliated with Cheshire Medical Center and Monadnock Community Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Civitella was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.