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DR. JEFFREY J HUNTER MD
NPI 1295975423
Obstetrics & Gynecology in Pawtucket, RI

Active since February 27, 2009PECOS EnrolledAccepts Medicare Assignment
21 DIVISION ST, PAWTUCKET, RI 02860(401) 727-4800(401) 921-6924 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2025, May 27, 2025, Jan 14, 2020 (3 updates tracked since 2020).

About Dr. Jeffrey J Hunter Md NPPES

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

DR. JEFFREY J HUNTER MD (NPI 1295975423) is an individual obstetrics & gynecology provider in Pawtucket, Rhode Island, licensed in Rhode Island (MD16961) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Women & Infants Hospital Of Rhode Island, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295975423
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JEFFREY J HUNTERCredential: MD
Location Address21 DIVISION STPawtucket, RI 02860-5352
Mailing Address21 Division StPawtucket, RI 02860-5352 · (401) 727-4800 · Fax (401) 921-6924
Phone(401) 727-4800
Fax(401) 921-6924
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2008
Enumeration DateFebruary 27, 2009
Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1295975423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in RI · MD16961
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.
21 DIVISION ST, Pawtucket, RI 02860
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11150 Reservoir Ave Ste 300Cranston, RI 02920-6032 · Phone (401) 223-2828 · Fax (401) 223-2825
Location 2455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 736-4546

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey J Hunter 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 ID2668623315
PECOS Enrollment IDI20200225001803
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

5

Medicare enrollment records show Jeffrey Hunter reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affinity Physicians LLC
4.5 mi
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1053038471 (401) 274-1122
Venus Ob-Gyn Inc
8.0 mi
Obstetrics & Gynecology
1150 RESERVOIR AVE STE 300
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
  • 5 clinicians in this Medicare group
NPI 1104338508 (401) 223-2828
Michael J Grossman MD PC
56 mi
Obstetrics & Gynecology
565 TURNPIKE ST, SUITE 74
North Andover, MA 01845
  • Reassigned Medicare billing, Massachusetts enrollment
  • 24 clinicians in this Medicare group
NPI 1770530255 (978) 682-2121
Obhg Massachusetts PC
59 mi
Obstetrics & Gynecology
1 GENERAL ST
Lawrence, MA 01841
  • Reassigned Medicare billing, Massachusetts enrollment
  • 38 clinicians in this Medicare group
NPI 1740844083 (864) 908-3530
Mercy Inpatient Medical Associates Inc.
65 mi
Internal Medicine
271 CAREW ST
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • 168 clinicians in this Medicare group
NPI 1407845282 (413) 748-9321

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

Hospital Affiliations CMS Care Compare

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

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

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.

ZEEL PARESHKUMAR DESAI PT
Physical Therapist
21 DIVISION ST
PAWTUCKET, RI 02860
Providence County (401) 726-7100
KEVIN ALEXANDER DPT
Physical Therapist
21 DIVISION ST
PAWTUCKET, RI 02860
Providence County (401) 433-4172
BRITTANY POLK DPT
Physical Therapist
21 DIVISION ST
PAWTUCKET, RI 02860
Providence County (401) 726-7100
MICHAEL GLASSMAN DPT
Physical Therapist
21 DIVISION ST
PAWTUCKET, RI 02860
Providence County (401) 726-7100
DR. ODINAKA C ANYANWU M.D.
Family Medicine
21 DIVISION ST
PAWTUCKET, RI 02860
Providence County (401) 727-4800
DR. HAN KEAT LOW PT DPT
Physical Therapist
21 DIVISION ST
PAWTUCKET, RI 02860
Providence County (401) 226-0545
MR. GREGORY MICHAEL YAKIMEC DPT
Physical Therapist
21 DIVISION ST
PAWTUCKET, RI 02860
Providence County (401) 433-4172
LEAH KATSOS DPT
Physical Therapist
21 DIVISION ST
PAWTUCKET, RI 02860
Providence County (401) 726-7100

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 Hunter's NPI number?

The NPI number for Jeffrey Hunter is 1295975423. It was assigned to this individual provider in the NPPES registry on February 27, 2009.

Where is Jeffrey Hunter located?

Jeffrey Hunter practices at 21 Division St, Pawtucket, RI 02860. The listed phone number is (401) 727-4800.

What is Jeffrey Hunter's specialty?

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

Is Jeffrey Hunter enrolled in Medicare?

Yes. Jeffrey Hunter 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.

Which organizations bill Medicare for Jeffrey Hunter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Hunter reassigns Medicare benefits to 5 organizations: Affinity Physicians LLC (Providence, RI), Venus Ob-Gyn Inc (Cranston, RI), Michael J Grossman MD PC (North Andover, MA), Obhg Massachusetts PC (Lawrence, MA) and Mercy Inpatient Medical Associates Inc. (Springfield, MA). 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 Jeffrey Hunter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Hunter accept?

Health plans from Taro Health and WellSense Health Plan list Jeffrey Hunter 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 Hunter affiliated with any hospitals?

According to CMS data, Jeffrey Hunter is affiliated with Women & Infants Hospital Of Rhode Island.

When was this NPI record last updated?

The NPPES record for Jeffrey Hunter was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.