DR. JEFFREY H DECLAIRE M.D.
NPI 1265442446
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Rochester, MI

Q: What is Jeffrey Declaire's NPI number?

The NPI number for Jeffrey Declaire is 1265442446. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Jeffrey Declaire's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Declaire was last updated on June 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment

79.84/100

CMS Quality Rating

1135 W UNIVERSITY DR, SUITE 450, ROCHESTER, MI 48307(248) 650-2400(248) 650-4596 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2018, Mar 26, 2018 (2 updates tracked since 2018).

On this page

About Dr. Jeffrey H Declaire M.d. NPPES

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

DR. JEFFREY H DECLAIRE M.D. (NPI 1265442446) is an individual adult reconstructive orthopaedic surgery provider in Rochester, Michigan, licensed in Michigan (4301045096) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of University Of Michigan Medical School (1977).

NPPES Registry Identity

NPI1265442446

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameDR. JEFFREY H DECLAIRECredential: M.D.

Location Address1135 W UNIVERSITY DR, SUITE 450Rochester, MI 48307-1871

Mailing Address1135 W University Dr, Suite 450Rochester, MI 48307-1871 · (248) 650-2400 · Fax (248) 650-4596

Phone(248) 650-2400

Fax(248) 650-4596

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1977

Enumeration DateAugust 9, 2006

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1265442446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in MI · 4301045096

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

1135 W UNIVERSITY DR, Rochester, MI 48307

Open in Google Maps ↗

Other Identifiers 2

Other0632203MI · Blue Cross Blue Shield

Medicaid1265442446MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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. Jeffrey H Declaire M.d. 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 ID7618986316

PECOS Enrollment IDI20060407000118

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 16

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.

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

434 services313 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

244 services152 patients

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.

178 services137 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

142 services121 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

130 services101 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

78 services78 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

76 services74 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

57 services50 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

53 services48 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

41 services41 patients

Replacement of knee joint on side of knee 27446

A knee joint replacement on one side, also known as unicompartmental knee replacement, is a surgical procedure where damaged parts of the knee joint are replaced with artificial parts. This helps to reduce pain and improve mobility. It's typically done under general anesthesia.

25 services25 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

17 services14 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

14 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Removal of joint lining from multiple knee joint compartments using an endoscope 29876

This procedure, called a synovectomy, involves using an endoscope, a small camera, to view your knee joint. The surgeon then removes the inflamed joint lining from several areas of your knee. The goal is to reduce pain and improve joint function.

12 services12 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230019

Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County

Emergency services Birthing friendly

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230047

Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County

Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230254

Location1101 W University DriveRochester, MI 48307 · Oakland County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland 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.

79.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.99

Promoting Interoperability

100

Improvement Activities

Cost

60.82

Reported Quality Measures

Breast Cancer Screening

19%454 patients1/55-star benchmark: 93%

Cervical Cancer Screening

13%233 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

62%484 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

61%141 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

33%48 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

40%48 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

96%1,779 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

11%731 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

29%1,261 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

13%1,188 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%1,476 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 42% · 956 patients

Patients screened: 43% · 956 patients

48%23 patients2/55-star benchmark: 100%

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.04%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

74%160 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 771 patients

Patients totalRate: 4% · 781 patients

4%781 patients4/55-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.

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.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

10 suppliers26 claims26 services$45.13 avg. paid by Medicare

Continuous passive motion exercise device for use on knee only E0935

DME-Other DME · category DE000N

1 supplier11 claims219 services$21.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. KRISTINE O. RUDOLF M.D.

Family Medicine

1135 W UNIVERSITY DR, SUITE 250
ROCHESTER HILLS, MI 48307

Oakland County (248) 453-0194

MICHAEL W LAKER M.D.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

1135 W UNIVERSITY DR, SUITE 450
ROCHESTER, MI 48307

Oakland County (248) 650-2400

JINPING XU MD MS

Family Medicine

1135 W UNIVERSITY DR, STE 250
ROCHESTER, MI 48307

Oakland County (248) 650-6301

DR. BARTOL BIOCIC M.D.

Obstetrics & Gynecology

1135 W UNIVERSITY DR, SUITE 300
ROCHESTER, MI 48307

Oakland County (248) 652-3050

NEUROHEALTH ASSOCIATES PLC

Psychiatry & Neurology (Psychiatry)

1135 W UNIVERSITY DR, SUITE 410
ROCHESTER, MI 48307

Oakland County (248) 656-0011

JEFFREY L & CHARLES J WEINGARTEN MD PC

Urology

1135 W UNIVERSITY DR, SUITE 210
ROCHESTER HILLS, MI 48307

Oakland County (248) 650-4660

BARTOL BIOCIC M.D. PC

Obstetrics & Gynecology

1135 W UNIVERSITY DR, SUITE 300
ROCHESTER, MI 48307

Oakland County (248) 652-3050

MRS. JILL MARIE DIENES PT

Physical Therapist

1135 W UNIVERSITY DR, SUITE 450
ROCHESTER HILLS, MI 48307

Oakland County (248) 650-2400

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 Jeffrey Declaire's NPI number?

The NPI number for Jeffrey Declaire is 1265442446. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Jeffrey Declaire located?

Jeffrey Declaire practices at 1135 W University Dr Suite 450, Rochester, MI 48307. The listed phone number is (248) 650-2400.

What is Jeffrey Declaire's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Jeffrey Declaire enrolled in Medicare?

Yes. Jeffrey Declaire 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 Jeffrey Declaire accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Jeffrey Declaire 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 Jeffrey Declaire affiliated with any hospitals?

According to CMS data, Jeffrey Declaire is affiliated with Ascension Providence Hospital, Southfield And Novi, Henry Ford Macomb Hospital, Henry Ford Health Hospital, Ascension Providence Rochester Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Jeffrey Declaire was last updated on June 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.