PETER STEVAN JEROME M.D.
NPI 1396740668
Internal Medicine - Pulmonary Disease in Longview, TX

Q: What is Peter Jerome's NPI number?

The NPI number for Peter Jerome is 1396740668. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Q: What is Peter Jerome's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Peter Jerome was last updated on January 11, 2021. 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.

Active since June 14, 2005PECOS Enrolled

700 E MARSHALL AVE, LONGVIEW, TX 75601(903) 315-1488(903) 315-1656 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2021, Sep 30, 2019, Jan 23, 2019 (3 updates tracked since 2019).

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About Peter Stevan Jerome M.d. NPPES

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

PETER STEVAN JEROME M.D. (NPI 1396740668) is an individual pulmonary disease provider in Longview, Texas, licensed in Texas (P4321) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396740668

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NamePETER STEVAN JEROMECredential: M.D.

Location Address700 E MARSHALL AVELongview, TX 75601-5580

Mailing Address1000 1st Dr NwAustin, MN 55912-2941 · (507) 433-7351

Phone(903) 315-1488

Fax(903) 315-1656

Sole ProprietorNo

Enumeration DateJune 14, 2005

Last NPPES UpdateJanuary 11, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2021

✔ NPI 1396740668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in TX · P4321✔ Licensed in ID · M-12784✔ Licensed in WI · 23793✔ Licensed in MN · 51376

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 12731 (ND)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License M-12784 (ID)

700 E MARSHALL AVE, Longview, TX 75601

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Secondary Practice Locations 2

Location 11000 1st Dr NWAustin, MN 55912-2941 · Phone (507) 433-7351

Location 2215 E Hawaii AveNampa, ID 83686-6011 · Phone (208) 463-3000 · Fax (208) 463-3035

Other Identifiers 5

Medicaid393948001TX

OtherP00849680MN · Railroad Medicare

OtherP02137176TX · Medicare Railroad

Medicaid31692500WI

MedicaidENROLLEDIA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Medica.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)

Peter Stevan Jerome 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 75601 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

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers12 claims72 services$2.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

ZEHRA HUSSAIN DO

Internal Medicine