MICHAEL JEROME DO
NPI 1306164967
Internal Medicine in Dallas, TX

Q: What is Michael Jerome's NPI number?

The NPI number for Michael Jerome is 1306164967. It was assigned to this individual provider in the NPPES registry on May 6, 2010.

Q: What is Michael Jerome's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Jerome was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 06, 2010PECOS EnrolledAccepts Medicare Assignment

2360 GUS THOMASSON RD, DALLAS, TX 75228(214) 301-7071 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2025, Sep 13, 2019, Nov 9, 2017 and 1 more (4 updates tracked since 2017).

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About Michael Jerome Do NPPES

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

MICHAEL JEROME DO (NPI 1306164967) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (W1174) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1306164967

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMICHAEL JEROMECredential: DO

Location Address2360 GUS THOMASSON RDDallas, TX 75228-3005

Mailing AddressPo Box 746079Atlanta, GA 30374-6079 · (646) 680-2888 · Fax (516) 542-5556

Phone(214) 301-7071

Sole ProprietorNo

Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2010

Enumeration DateMay 6, 2010

Last NPPES UpdateNovember 3, 20254 updates tracked since enumeration

NPPES CertifiedNovember 3, 2025

✔ NPI 1306164967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · W1174

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2360 GUS THOMASSON RD, Dallas, TX 75228

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Secondary Practice Location 1

Location 14337 BroadwayNew York, NY 10033 · Phone (212) 568-6300 · Fax (212) 544-5094

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

Michael Jerome Do 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 ID4688995632

PECOS Enrollment IDI20170918001097, I20251027000757

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 7

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.

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.

74 services51 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

27 services22 patients

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

27 services24 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.

22 services21 patients

Face-to-face behavioral counseling for obesity, 15 minutes G0447

This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.

21 services13 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330304

Location41 East Post R0adWhite Plains, NY 10601 · Westchester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75228 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANITTA VARGHESE THOMAS PA-C

Physician Assistant