DR. JARED SEARS SUPPLE MD
NPI 1477045078
Emergency Medicine in Providence, RI
About Dr. Jared Sears Supple Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JARED SEARS SUPPLE MD (NPI 1477045078) is an individual emergency medicine provider in Providence, Rhode Island, licensed in Massachusetts (291805) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Lahey Hospital & Medical Center, Burlington, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jared Sears Supple 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.
Medicare Billing Reassignments
6Medicare enrollment records show Jared Supple reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Burlington, MA 01805
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1063447316 (Massachusetts)
- 1,574 clinicians in this Medicare group
Hampstead, NH 03841
- Reassigned Medicare billing, New Hampshire enrollment
- 2,620 clinicians in this Medicare group
Keene, NH 03431
- Reassigned Medicare billing, New Hampshire enrollment
- 2,999 clinicians in this Medicare group
Newport, NH 03773
- Reassigned Medicare billing, New Hampshire enrollment
- Also billed through NPI 1639610611 (New Hampshire)
- 219 clinicians in this Medicare group
Windsor, VT 05089
- Reassigned Medicare billing, Vermont enrollment
- Also billed through NPI 1558358747 (Vermont)
- 104 clinicians in this Medicare group
Lebanon, NH 03766
- Reassigned Medicare billing, New Hampshire enrollment
- 283 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lahey Hospital & Medical Center, Burlington
Acute Care Hospitals · Burlington, MAMary Hitchcock Memorial Hospital
Acute Care Hospitals · Lebanon, NHMt Ascutney Hospital
Critical Access Hospitals · Windsor, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 Jared Supple's NPI number?
The NPI number for Jared Supple is 1477045078. It was assigned to this individual provider in the NPPES registry on May 31, 2018.
Where is Jared Supple located?
Jared Supple practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4247.
What is Jared Supple's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jared Supple enrolled in Medicare?
Yes. Jared Supple 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.
Which organizations bill Medicare for Jared Supple's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jared Supple reassigns Medicare benefits to 6 organizations: Lahey Clinic, Inc. (Burlington, MA), Mary Hitchcock Memorial Hospital (Hampstead, NH), Dartmouth-Hitchcock Clinic (Keene, NH), The New London Hospital Association, Inc. (Newport, NH), Windsor Hospital Corporation (Windsor, VT) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jared Supple's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jared Supple accept?
Health plans from Ambetter from NH Healthy Families list Jared Supple 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.
Is Jared Supple affiliated with any hospitals?
According to CMS data, Jared Supple is affiliated with Lahey Hospital & Medical Center, Burlington, Mary Hitchcock Memorial Hospital and Mt Ascutney Hospital.
When was this NPI record last updated?
The NPPES record for Jared Supple was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Dr. Jared Sears Supple, MD · NPI 1477045078
Emergency Medicine physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since May 31, 2018.
## Identity
- **NPI:** 1477045078 (Entity type: Individual)
- **Enumerated:** May 31, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 291805 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 593 EDDY ST, Providence, RI 02903-4923
- **Phone:** (401) 444-4247
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Lahey Clinic, Inc. (NPI 1538194980, Burlington, MA); Mary Hitchcock Memorial Hospital (NPI 1699584219, Hampstead, NH); Dartmouth-Hitchcock Clinic (NPI 1174176861, Keene, NH); The New London Hospital Association, Inc. (NPI 1770684672, Newport, NH); Windsor Hospital Corporation (NPI 1841287984, Windsor, VT); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2018
## Record status
- **NPPES last updated:** July 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1477045078) · Data from the CMS NPPES public registry.