JEROME JOSEPH COUTURE M.D.
NPI 1518420199
Internal Medicine in Hershey, PA

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
500 UNIVERSITY DR, HERSHEY, PA 17033(717) 531-8521 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2024, Aug 14, 2023, May 15, 2023 and 3 more (6 updates tracked since 2019).

About Jerome Joseph Couture M.d. NPPES

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

JEROME JOSEPH COUTURE M.D. (NPI 1518420199) is an individual internal medicine provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD485374) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1518420199
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJEROME JOSEPH COUTURECredential: M.D.
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing Address500 University DrHershey, PA 17033-2360 · (717) 531-8521
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 10, 2019
Last NPPES UpdateJuly 12, 20246 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1518420199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD485374✔ Licensed in VA · 0101275462
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 0101275462 (VA)
500 UNIVERSITY DR, Hershey, PA 17033

Secondary Practice Locations 3

Location 177 Nealy AveHampton, VA 23665-2040 · Phone (757) 764-2123
Location 24000 Coliseum Dr Ste 445Hampton, VA 23666-5981 · Phone (757) 827-2127
Location 3620 John Paul Jones CirPortsmouth, VA 23708-2111 · Phone (757) 953-5000

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

Jerome Joseph Couture M.d. 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 ID3870825276
PECOS Enrollment IDI20240725001549
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jerome Couture reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
500 UNIVERSITY DR
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group
Internal Medicine
1623 MORGANTOWN RD
Reading, PA 19607
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 11 clinicians in this Medicare group
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 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 2

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.

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.
102 services101 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033

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 Jerome Couture's NPI number?

The NPI number for Jerome Couture is 1518420199. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Jerome Couture located?

Jerome Couture practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-8521.

What is Jerome Couture's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jerome Couture enrolled in Medicare?

Yes. Jerome Couture 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 Jerome Couture's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerome Couture reassigns Medicare benefits to 3 organizations: The Milton S Hershey Medical Center Physicians Group (Hershey, PA), Penn Healthcare PLLC (Reading, PA) and Sentara Medical Group (Norfolk, VA). 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 Jerome Couture's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jerome Couture affiliated with any hospitals?

According to CMS data, Jerome Couture is affiliated with Upmc Pinnacle Hospitals, Milton S Hershey Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Jerome Couture was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.