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J. COFFY PIETERNELLE MD
NPI 1245224591
Obstetrics & Gynecology in Beaumont, TX

Active since September 01, 2005Opted out of Medicare · through Jan 1, 2028
5060 SHADOW LN, BEAUMONT, TX 77706(409) 899-1499(409) 899-1354 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About J. Coffy Pieternelle Md NPPES

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

J. COFFY PIETERNELLE MD (NPI 1245224591) is an individual obstetrics & gynecology provider in Beaumont, Texas, licensed in Texas (H5946) and active in the NPI registry since September 2005. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245224591
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJ. COFFY PIETERNELLECredential: MD
Location Address5060 SHADOW LNBeaumont, TX 77706-7632
Mailing Address5060 Shadow LnBeaumont, TX 77706-7632 · (409) 656-1163
Phone(409) 899-1499
Fax(409) 899-1354
Sole ProprietorYes
Enumeration DateSeptember 1, 2005
Last NPPES UpdateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
✔ NPI 1245224591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · H5946
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5060 SHADOW LN, Beaumont, TX 77706
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Other Identifiers 2

Medicaid127792303TX
Other160036972TX · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

J. Coffy Pieternelle Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2012 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2012
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77706 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
$124.88 typical visit price
range $54.04 – $164.93
Typical copayment $31.22 (range $13.51 – $41.23)
Most-billed visit code 99204
Established Patient
$67.64 typical visit price
range $17.17 – $134.47
Typical copayment $16.91 (range $4.29 – $33.61)
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.

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 J. Pieternelle's NPI number?

The NPI number for J. Pieternelle is 1245224591. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is J. Pieternelle located?

J. Pieternelle practices at 5060 Shadow Ln, Beaumont, TX 77706. The listed phone number is (409) 899-1499.

What is J. Pieternelle's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is J. Pieternelle enrolled in Medicare?

No. J. Pieternelle has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does J. Pieternelle accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list J. Pieternelle 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 J. Pieternelle was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.