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MICHAEL ALLEN REVELLE M.D.
NPI 1295714558
Emergency Medicine in Jackson, TN

Active since January 13, 2006PECOS Enrolled
708 W FOREST AVE, JACKSON, TN 38301(731) 660-8759 Get Directions Write a Review

NPPES record last updated: July 16, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Allen Revelle M.d. NPPES

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

MICHAEL ALLEN REVELLE M.D. (NPI 1295714558) is an individual emergency medicine provider in Jackson, Tennessee, licensed in Tennessee (MD34579) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295714558
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL ALLEN REVELLECredential: M.D.
Location Address708 W FOREST AVEJackson, TN 38301-3901
Mailing Address1804 Highway 45 Byp, Suite 604Jackson, TN 38305-4436 · (731) 660-8759
Phone(731) 660-8759
Sole ProprietorNo
Enumeration DateJanuary 13, 2006
Last NPPES UpdateJuly 16, 2009
✔ NPI 1295714558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TN · MD34579
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
708 W FOREST AVE, Jackson, TN 38301
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Other Identifiers 5

Medicaid3861019TN
Medicare ID-Type Unspecified3861017TN · Jmcgh Er
OtherP00109858Rr Medicare
Other4032737Bcbs
Medicare UPINH31927TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Allen Revelle 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 Reassignments

3

Medicare enrollment records show Michael Revelle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Care Facilities PC
0.1 mi
Emergency Medicine
620 SKYLINE DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 146 clinicians in this Medicare group
NPI 1538345855 (731) 541-6574
J & j Health Services, LLC
11 mi
Family Medicine
589 HWY 45E S
Medina, TN 38355
  • Reassigned Medicare billing, Tennessee enrollment
  • 2 clinicians in this Medicare group
NPI 1710792940 (731) 462-0000
P A Corporate Enterprises LLP
11 mi
Multi-Specialty
589 HIGHWAY 45 BYP S
Medina, TN 38355
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: PA Corporate Enterprises, LLP
  • 2 clinicians in this Medicare group
NPI 1598201196 (713) 462-0000

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

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
148 services148 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
77 services77 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

JOHN HAYES MD
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 660-8755
DR. DONALD CHARLES CORRELL MD
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 425-6280
ONCOLOGY CONSULTANTS PC
Specialist
708 W FOREST AVE, RADIATION ONCOLOGY DEPT
JACKSON, TN 38301
Madison County (731) 425-6250
JIM C CRAIG JR. M.D.
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 660-8759
JERRY PETERS MD
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 660-8759
WILLIAM L. MCGUIRE M.D.
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 660-8759
MOLLY F. WRIGHT CRNA
Nurse Anesthetist, Certified Registered
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 927-7070
ARLENE G WILSON CRNA
Nurse Anesthetist, Certified Registered
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 668-1853

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 Michael Revelle's NPI number?

The NPI number for Michael Revelle is 1295714558. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Michael Revelle located?

Michael Revelle practices at 708 W Forest Ave, Jackson, TN 38301. The listed phone number is (731) 660-8759.

What is Michael Revelle's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Revelle enrolled in Medicare?

Yes. Michael Revelle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Revelle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Revelle reassigns Medicare benefits to 3 organizations: Emergency Medical Care Facilities PC (Jackson, TN), J & j Health Services, LLC (Medina, TN) and P A Corporate Enterprises LLP (Medina, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Revelle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Revelle was last updated on July 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.