DR. JEFFREY M PARKER M.D.
NPI 1255303814
Pediatrics in Covington, KY

Q: What is Jeffrey Parker's NPI number?

The NPI number for Jeffrey Parker is 1255303814. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Q: What is Jeffrey Parker's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Parker was last updated on March 15, 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.

Active since February 07, 2006PECOS Enrolled

1401 MADISON AVE, COVINGTON, KY 41011(859) 655-6100 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Jeffrey M Parker M.d. NPPES

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

DR. JEFFREY M PARKER M.D. (NPI 1255303814) is an individual pediatrics provider in Covington, Kentucky, licensed in Kentucky (37959) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255303814

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. JEFFREY M PARKERCredential: M.D.

Location Address1401 MADISON AVECovington, KY 41011-3313

Mailing Address215 E 11th StNewport, KY 41071-2203 · (859) 655-6100

Phone(859) 655-6100

Sole ProprietorNo

Enumeration DateFebruary 7, 2006

Last NPPES UpdateMarch 15, 2021

NPPES CertifiedMarch 15, 2021

✔ NPI 1255303814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in KY · 37959

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1401 MADISON AVE, Covington, KY 41011

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Other Identifiers 1

Medicaid64068067KY

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey M Parker M.d. 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 Parker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Virginia University Medical Corporation

230 mi

Clinical Medical Laboratory

527 MEDICAL PARK DR, SUITE 108
Bridgeport, WV 26330

Reassigned Medicare billing, West Virginia enrollment
2,471 clinicians in this Medicare group

NPI 1457605404 (304) 848-2152

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41011 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

MS. VIRGINIA BROOKE FAULKNER DMD

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