DR. JEFFREY JEROME PELTON MD
NPI 1396883930
Surgery - Surgical Oncology in Washington, DC

Active since February 04, 2007PECOS EnrolledAccepts Medicare Assignment
700 2ND ST NE, WASHINGTON, DC 20002(202) 346-3850 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Jerome Pelton Md NPPES

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

DR. JEFFREY JEROME PELTON MD (NPI 1396883930) is an individual surgical oncology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD035692) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1984).

NPPES Registry Identity

NPI1396883930
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. JEFFREY JEROME PELTONCredential: MD
Location Address700 2ND ST NEWashington, DC 20002-8100
Mailing Address6001 Ryland DrBethesda, MD 20817-2542 · (301) 913-2845
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1984
Enumeration DateFebruary 4, 2007
Last NPPES UpdateJuly 22, 2013
NPI 1396883930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in DC · MD035692
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
700 2ND ST NE, Washington, DC 20002

Other Identifiers 2

Medicare ID-Type Unspecified00G855462CA
Medicare UPINH28388CA

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. Jeffrey Jerome Pelton 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 ID2365435112
PECOS Enrollment IDI20190604002697
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 6

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
67 services67 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
66 services43 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.
33 services31 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.
21 services15 patients
Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm 11606
This procedure involves surgically removing a cancerous skin growth larger than 4.0 cm on your body, arms, or legs. It's a crucial step in preventing the spread of cancer. Local anesthesia is typically used, and recovery time varies. It's a common and safe procedure.
15 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20002 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

Family Medicine
700 2ND ST NE
WASHINGTON, DC 20002
Internal Medicine
700 2ND ST NE, KAISER PERMANENTE
WASHINGTON, DC 20002
Internal Medicine (Infectious Disease)
700 2ND ST NE
WASHINGTON, DC 20002
Internal Medicine (Hematology & Oncology)
700 2ND ST NE
WASHINGTON, DC 20002
Radiology (Diagnostic Radiology)
700 2ND ST NE, CAPITOL HILL MEDICAL CENTER
WASHINGTON, DC 20002
Internal Medicine (Rheumatology)
700 2ND ST NE
WASHINGTON, DC 20002
Internal Medicine (Pulmonary Disease)
700 2ND ST NE, KAISER PERMANENTE CAPITOL HILL MEDICAL CENTER
WASHINGTON, DC 20002
Urology
700 2ND ST NE
WASHINGTON, DC 20002

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 Jeffrey Pelton's NPI number?

The NPI number for Jeffrey Pelton is 1396883930. It was assigned to this individual provider in the NPPES registry on February 4, 2007.

Where is Jeffrey Pelton located?

Jeffrey Pelton practices at 700 2nd St NE, Washington, DC 20002. The listed phone number is (202) 346-3850.

What is Jeffrey Pelton's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Jeffrey Pelton enrolled in Medicare?

Yes. Jeffrey Pelton 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.

Is Jeffrey Pelton affiliated with any hospitals?

According to CMS data, Jeffrey Pelton is affiliated with Mary Washington Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Pelton was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.