JEFFREY W. BRAGG D.O.
NPI 1518937697
Family Medicine in Marion, IN

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
83.71/100
CMS Quality Rating
1391 N BALDWIN AVE, MARION, IN 46952(765) 662-2534(765) 671-7793 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey W. Bragg D.o. NPPES

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

JEFFREY W. BRAGG D.O. (NPI 1518937697) is an individual family medicine provider in Marion, Indiana, licensed in Indiana (02000919) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Chicago College Of Osteopathy (1985).

NPPES Registry Identity

NPI1518937697
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFFREY W. BRAGGCredential: D.O.
Location Address1391 N BALDWIN AVEMarion, IN 46952-1913
Mailing Address330 North Wabash, Ste G20Marion, IN 46952-2600 · (765) 662-4133 · Fax (765) 651-7313
Fax(765) 671-7793
Sole ProprietorNo
Medical School CMSChicago College Of OsteopathyGraduated 1985
Enumeration DateJanuary 23, 2006
Last NPPES UpdateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
NPI 1518937697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 02000919
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1391 N BALDWIN AVE, Marion, IN 46952

Other Identifiers 2

Other000000661496IN · Anthem
Medicaid100260500IN

Accepted Insurance

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

Jeffrey W. Bragg D.o. 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 ID3375527211
PECOS Enrollment IDI20040617000057
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 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.

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.
321 services272 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
90 services90 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.
87 services75 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46952 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

83.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.94
Promoting Interoperability95
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 21

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers126 claims280 services$5.55 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
5 suppliers20 claims21 services$2.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers63 claims80 services$0.95 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers25 claims25 services$40.53 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers26 claims26 services$100.92 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers31 claims58 services$39.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1391 N BALDWIN AVE
MARION, IN 46952
Social Worker (Clinical)
1391 N BALDWIN AVE
MARION, IN 46952
General Practice
1391 N BALDWIN AVE
MARION, IN 46952
Physical Medicine & Rehabilitation
1391 N BALDWIN AVE, HIGHWAY 9
MARION, IN 46952
Nurse Practitioner (Family)
1391 N BALDWIN AVE
MARION, IN 46952
Family Medicine
1391 N BALDWIN AVE
MARION, IN 46952
Nurse Practitioner (Family)
1391 N BALDWIN AVE
MARION, IN 46952
Otolaryngology
1391 N BALDWIN AVE
MARION, IN 46952

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 Bragg's NPI number?

The NPI number for Jeffrey Bragg is 1518937697. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Jeffrey Bragg located?

Jeffrey Bragg practices at 1391 N Baldwin Ave, Marion, IN 46952. The listed phone number is (765) 662-2534.

What is Jeffrey Bragg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jeffrey Bragg enrolled in Medicare?

Yes. Jeffrey Bragg 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.

What insurance does Jeffrey Bragg accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jeffrey Bragg 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 Jeffrey Bragg affiliated with any hospitals?

According to CMS data, Jeffrey Bragg is affiliated with Marion General Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Bragg was last updated on October 21, 2020. 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.