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

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: August 09, 2026.

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

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
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

Secondary Practice Location 1

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

Other Identifiers 3

Other693517TX · Medicare
Medicaid371443805TX
Other8JX800TX · Bcbs

Accepted 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. 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.

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

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.

Orthopaedic Surgery
1327 TROUP HWY
TYLER, TX 75701
Clinic/Center
1327 TROUP HWY
TYLER, TX 75701
Internal Medicine (Rheumatology)
1327 TROUP HWY
TYLER, TX 75701
Orthopaedic Surgery
1327 TROUP HWY
TYLER, TX 75701
Orthopaedic Surgery
1327 TROUP HWY
TYLER, TX 75701
Clinic/Center
1327 TROUP HWY, SUITE C
TYLER, TX 75701
Physician Assistant
1327 TROUP HWY
TYLER, TX 75701
Physician Assistant
1327 TROUP HWY
TYLER, TX 75701

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.

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 7 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.