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JEFFREY J ICKLER M.D.
NPI 1477656528
Surgery in Diberville, MS

Active since September 06, 2006PECOS Enrolled
10241 BONEY AVE STE A, DIBERVILLE, MS 39540(228) 967-7651(228) 967-7653 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffrey J Ickler M.d. NPPES

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

JEFFREY J ICKLER M.D. (NPI 1477656528) is an individual surgery provider in Diberville, Mississippi, licensed in Alabama (00022258) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477656528
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJEFFREY J ICKLERCredential: M.D.
Location Address10241 BONEY AVE STE ADiberville, MS 39540-4889
Mailing Address10241 Boney Ave Ste ADiberville, MS 39540-4889 · (228) 967-7651 · Fax (228) 967-7653
Phone(228) 967-7651
Fax(228) 967-7653
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateMay 7, 2025
NPPES CertifiedMay 7, 2025
✔ NPI 1477656528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · 00022258
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
10241 BONEY AVE STE A, Diberville, MS 39540
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Other Identifiers 1

Medicaid009998120AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey J Ickler 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 39540 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

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.

Addition to lower extremity orthosis, suspension sleeve L2397
DME-Orthotic Devices · category DF000N
4 suppliers11 claims17 services$91.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ickler's NPI number?

The NPI number for Jeffrey Ickler is 1477656528. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Jeffrey Ickler located?

Jeffrey Ickler practices at 10241 Boney Ave Ste A, Diberville, MS 39540. The listed phone number is (228) 967-7651.

What is Jeffrey Ickler's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jeffrey Ickler enrolled in Medicare?

Yes. Jeffrey Ickler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Ickler was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.