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DR. SAMANTHA M JEFFERY D.M.D.
NPI 1396194460
Dentist - General Practice in Mercer, WI

Active since June 08, 2016PECOS Enrolled
5222 US-51 N, MERCER, WI 54548(715) 476-3432 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samantha M Jeffery D.m.d. NPPES

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

DR. SAMANTHA M JEFFERY D.M.D. (NPI 1396194460) is an individual general practice provider in Mercer, Wisconsin, licensed in Illinois (319.019980) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396194460
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SAMANTHA M JEFFERYCredential: D.M.D.
Location Address5222 US-51 NMercer, WI 54548
Mailing Address5738 W Belmont AveChicago, IL 60634-5208
Phone(715) 476-3432
Sole ProprietorNo
Enumeration DateJune 8, 2016
Last NPPES UpdateOctober 8, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1396194460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IL · 319.019980✔ Licensed in WI · 1002012-15
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5222 US-51 N, Mercer, WI 54548
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc., Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha M Jeffery D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54548 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 Samantha Jeffery's NPI number?

The NPI number for Samantha Jeffery is 1396194460. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Samantha Jeffery located?

Samantha Jeffery practices at 5222 Us-51 N, Mercer, WI 54548. The listed phone number is (715) 476-3432.

What is Samantha Jeffery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Samantha Jeffery enrolled in Medicare?

Yes. Samantha Jeffery is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Jeffery accept?

Health plans from Delta Dental of Wisconsin, Inc. and Humana list Samantha Jeffery 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 Samantha Jeffery was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.