DR. JEREMY RUSSELL CEFALU MD
NPI 1306289186
Ophthalmology in Tyler, TX

Q: What is Jeremy Cefalu's NPI number?

The NPI number for Jeremy Cefalu is 1306289186. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Q: What is Jeremy Cefalu's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Cefalu was last updated on October 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 April 11, 2013PECOS EnrolledAccepts Medicare Assignment

1327 TROUP HWY, TYLER, TX 75701(903) 606-4733 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2018, Sep 10, 2018, Aug 21, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Jeremy Russell Cefalu Md NPPES

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

DR. JEREMY RUSSELL CEFALU MD (NPI 1306289186) is an individual ophthalmology provider in Tyler, Texas, licensed in Texas (R2073) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tyler, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2013).

NPPES Registry Identity

NPI1306289186

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. JEREMY RUSSELL CEFALUCredential: MD

Location Address1327 TROUP HWYTyler, TX 75701

Mailing AddressPo Box 846098Dallas, TX 75284-6098

Phone(903) 606-4733

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2013

Enumeration DateApril 11, 2013

Last NPPES UpdateOctober 12, 20184 updates tracked since enumeration

✔ NPI 1306289186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in TX · R2073

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1327 TROUP HWY, Tyler, TX 75701

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Secondary Practice Location 1

Location 11327 Troup HwyTyler, TX 75701 · Phone (903) 606-4733

Other Identifiers 3

Other693517TX · Medicare

Medicaid371443805TX

Other8JX800TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.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. Jeremy Russell Cefalu 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 ID4284930983

PECOS Enrollment IDI20170530000331

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

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

The University Of Texas Southwestern Medical Center At Dallas

1.1 mi

Physical Medicine & Rehabilitation

1000 S BECKHAM AVE
Tyler, TX 75701

Reassigned Medicare billing, Texas enrollment
5,299 clinicians in this Medicare group

NPI 1417099599 (214) 645-0624

East Texas Eye Care Associates PLLC

1.1 mi

Ophthalmology

2440 E 5TH ST
Tyler, TX 75701

Reassigned Medicare billing, Texas enrollment
14 clinicians in this Medicare group

NPI 1427029024 (903) 595-0500

Christus Trinity Clinic Texas

1.5 mi

Family Medicine

520 DOUGLAS BLVD
Tyler, TX 75702

Reassigned Medicare billing, Texas enrollment
2,745 clinicians in this Medicare group

NPI 1285684225 (903) 315-4119

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 15

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

615 services583 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.

534 services325 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

446 services404 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

420 services417 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.

154 services121 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

119 services119 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

112 services63 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

112 services77 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

59 services37 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.

47 services46 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

41 services29 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

39 services36 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

39 services36 patients

Creation of shunt to improve eye fluid flow using tissue graft 66180

This procedure involves creating a new pathway for fluid to flow out of your eye using a tissue graft. It helps to lower eye pressure and prevent damage to your optic nerve, improving eye health and vision.

20 services15 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

DR. BRANDON A TINKLER MD

Orthopaedic Surgery

1327 TROUP HWY
TYLER, TX 75701

Smith County (903) 510-1121

TRINITY CLINIC

Clinic/Center

1327 TROUP HWY
TYLER, TX 75701

Smith County (903) 510-8840

STEVEN J COHEN MD

Internal Medicine (Rheumatology)

1327 TROUP HWY
TYLER, TX 75701

Smith County (903) 510-8764

DR. WILLIAM R HOBBS MD

Orthopaedic Surgery

1327 TROUP HWY
TYLER, TX 75701

Smith County (903) 510-8840

THOMAS B VOLATILE MD

Orthopaedic Surgery

1327 TROUP HWY
TYLER, TX 75701

Smith County (903) 510-8840

TRINCARE INC

Clinic/Center

1327 TROUP HWY, SUITE C
TYLER, TX 75701

Smith County (903) 531-4738

JACOB DANIEL CHANEY PA

Physician Assistant

1327 TROUP HWY
TYLER, TX 75701

Smith County (903) 510-8840

WESLEY L CASTLE P.A.-C

Physician Assistant

1327 TROUP HWY
TYLER, TX 75701

Smith County (903) 510-8840

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 Jeremy Cefalu's NPI number?

The NPI number for Jeremy Cefalu is 1306289186. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Jeremy Cefalu located?

Jeremy Cefalu practices at 1327 Troup Hwy, Tyler, TX 75701. The listed phone number is (903) 606-4733.

What is Jeremy Cefalu's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jeremy Cefalu enrolled in Medicare?

Yes. Jeremy Cefalu 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 Jeremy Cefalu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Cefalu reassigns Medicare benefits to 3 organizations: The University Of Texas Southwestern Medical Center At Dallas (Tyler, TX), East Texas Eye Care Associates PLLC (Tyler, TX) and Christus Trinity Clinic Texas (Tyler, TX). 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 Jeremy Cefalu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Cefalu accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Jeremy Cefalu 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.

When was this NPI record last updated?

The NPPES record for Jeremy Cefalu was last updated on October 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.