DR. JEFFREY D. LEWIS MD NPI 1376531871
Family Medicine in Duluth, MN
About JEFFREY LEWIS
Jeffrey Lewis is a primary care provider established in Duluth, Minnesota and his medical specialization is family medicine with more than 40 years of experience. He graduated from University Of Pittsburgh School Of Medicine in 1982. The NPI number of Jeffrey Lewis is 1376531871 and was assigned on October 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 36348 (WI). The provider is registered as an individual and his NPI record was last updated 6 years ago.
A primary care provider (PCP) like Dr. Jeffrey D. Lewis Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Jeffrey Lewis is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices
Jeffrey Lewis is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Memorial Medical Center and St Marys Hospital Superior.
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.21 for a new patient copayment and $25.76 for an established patient copayment.
| NPI | 1376531871 |
| Provider Name | DR. JEFFREY D. LEWIS MD |
| Provider Location Address | 400 E 3RD ST ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 |
| Provider Mailing Address | 400 E 3RD ST ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 10-10-2005 |
| Last Update Date | 09-28-2016 |
Primary Taxonomy
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 36348 |
| License State | WI |
| Taxonomy Description | Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Business Address
DR. JEFFREY D. LEWIS MD
400 E 3RD ST
ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN
ZIP 55805
Phone: (218) 786-3317
Mailing Address
DR. JEFFREY D. LEWIS MD
400 E 3RD ST
ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN
ZIP 55805
Phone: (218) 786-3317
Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 3577755628 |
| PECOS Enrollment ID | I20101007000292 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 55805 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $57.95 | $174.84 | $88.84 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.48 | $43.71 | $22.21 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.41 | $143.56 | $103.04 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.6 | $35.89 | $25.76 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 175Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- 78Hemoglobin A1C level (HCPCS:83036)
- 73Administration of influenza virus vaccine (HCPCS:G0008)
- 66Automated urinalysis test (HCPCS:81003)
- 58Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
- 16Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
- 14X-ray of chest, 2 views, front and side (HCPCS:71020)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jeffrey Lewis is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| MEMORIAL MEDICAL CENTER | 1615 MAPLE LANE ASHLAND, WI 54806 | (715) 685-5500 | Critical Access Hospitals | 521359 | |
| ST MARYS HOSPITAL SUPERIOR | 3500 TOWER AVE SUPERIOR, WI 54880 | (715) 817-7000 | Critical Access Hospitals | 521329 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 36348-020 | WI | No | |
Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 000306030 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI |
| 32103000 | MEDICAID (05) | WI |
| A16014 | MEDICARE UPIN (02) |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1134122799 | JANET S. BENNETT RN, CNP Individual | Nurse Practitioner (Adult Health) | 400 E 3RD ST DULUTH, MN 55805 (218) 786-8364 |
| 1811999733 | JAMES GREGORY MD Individual | Anesthesiology | 400 E 3RD ST DULUTH, MN 55805 (218) 786-4150 |
| 1427050921 | KATIE A STEVENSON CRNA Individual | Nurse Anesthetist, Certified Registered | 400 E 3RD ST DULUTH CLINIC DULUTH, MN 55805 (218) 786-3985 |
| 1265423255 | BRUCE E. HENSON MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 400 E 3RD ST DULUTH, MN 55805 (218) 786-3029 |
| 1366423030 | DR. SARAH M. WESTBERG PHARM.D., BCPS Individual | Pharmacist | 400 E 3RD ST DULUTH, MN 55805 (218) 786-1047 |
| 1982681334 | JAMES L WISE M.D. Individual | Internal Medicine (Gastroenterology) | 400 E 3RD ST DULUTH, MN 55805 (218) 786-8364 |
| 1912976176 | JAMES ROBERT BRYCH PA-C Individual | Physician Assistant | 400 E 3RD ST DULUTH CLINIC, INTERNAL MEDICINE DULUTH, MN 55805 (218) 786-3337 |
| 1023077799 | MR. MICHAEL JAMES GOGOLIN ATC Individual | Specialist/Technologist (Athletic Trainer) | 400 E 3RD ST DULUTH, MN 55805 (218) 786-5400 |
| 1154380939 | JOHN EDWIN SLETTEDAHL RN, CNP Individual | Nurse Practitioner (Family) | 400 E 3RD ST DULUTH, MN 55805 (218) 786-8364 |
| 1518929165 | BRET HINNENKAMP MED, ATC Individual | Specialist/Technologist (Athletic Trainer) | 400 E 3RD ST DULUTH, MN 55805 (218) 786-8364 |
| 1093779852 | CONRAD JOSEPH ROSS PA-C Individual | Physician Assistant (Medical) | 400 E 3RD ST MAILDROP: 1S2W50 DULUTH, MN 55805 (218) 786-3985 |
| 1336198332 | RAHUL AGGARWAL M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 400 E 3RD ST DULUTH, MN 55805 (218) 786-2355 |
| 1427008259 | SHERI B BERGERON MD Individual | Family Medicine | 400 E 3RD ST DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1881645356 | DR. JENNIFER LYNN MARTINELLI MD Individual | Family Medicine | 400 E 3RD ST ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-6000 |
| 1609820943 | MS. SUSAN M GRAY RN, CNP Individual | Nurse Practitioner (Family) | 400 E 3RD ST DULUTH, MN 55805 (218) 786-6244 |
| 1053365965 | MATTHEW EVINGSON PA-C Individual | Physician Assistant | 400 E 3RD ST DULUTH, MN 55805 (218) 786-3520 |
| 1902851116 | GLENN ALBIN M.D Individual | Internal Medicine (Cardiovascular Disease) | 400 E 3RD ST DULUTH, MN 55805 (218) 786-3433 |
| 1215983325 | JANET KAY CISMOSKI MARTENS RN, CNP Individual | Nurse Practitioner (Family) | 400 E 3RD ST DULUTH, MN 55805 (218) 786-3029 |
| 1588610992 | JANUS BUTCHER Individual | Family Medicine (Sports Medicine) | 400 E 3RD ST DULUTH, MN 55805 (218) 786-3520 |
| 1578500708 | RODOLFO EDMUNDO URIAS Individual | Radiology (Therapeutic Radiology) | 400 E 3RD ST DULUTH, MN 55805 (218) 786-1311 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.