DR. JEFFREY D. LEWIS MD NPI 1376531871

Family Medicine in Duluth, MN

NPI 1376531871 Individual Male Years of Experience 40 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

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 NameDR. JEFFREY D. LEWIS MD
Provider Location Address400 E 3RD ST ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805
Provider Mailing Address400 E 3RD ST ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year1982
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-10-2005
Last Update Date09-28-2016


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.36348
License StateWI
Taxonomy DescriptionFamily 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

Get Directions


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 ID3577755628
PECOS Enrollment IDI20101007000292
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 CENTER1615 MAPLE LANE
ASHLAND, WI 54806
(715) 685-5500Critical Access Hospitals521359
ST MARYS HOSPITAL SUPERIOR3500 TOWER AVE
SUPERIOR, WI 54880
(715) 817-7000Critical Access Hospitals521329

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
1207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine36348-020WINo

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
000306030MEDICARE ID-TYPE UNSPECIFIED (04)WI
32103000MEDICAID (05)WI
A16014MEDICARE 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
Anesthesiology400 E 3RD ST
DULUTH, MN 55805
(218) 786-4150
1427050921 KATIE A STEVENSON CRNA
Individual
Nurse Anesthetist, Certified Registered400 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
1366423030DR. SARAH M. WESTBERG PHARM.D., BCPS
Individual
Pharmacist400 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 Assistant400 E 3RD ST DULUTH CLINIC, INTERNAL MEDICINE
DULUTH, MN 55805
(218) 786-3337
1023077799MR. 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 Medicine400 E 3RD ST DULUTH CLINIC
DULUTH, MN 55805
(218) 786-8364
1881645356DR. JENNIFER LYNN MARTINELLI MD
Individual
Family Medicine400 E 3RD ST ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
(218) 786-6000
1609820943MS. 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 Assistant400 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.