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DR. JACOB JOSEPH CHEVLEN DO
NPI 1619504859
Emergency Medicine in Mount Gilead, OH

Active since March 26, 2020PECOS Enrolled
651 W MARION RD, MOUNT GILEAD, OH 43338(419) 949-3180 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 27, 2025, May 8, 2025, Jul 30, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Jacob Joseph Chevlen Do NPPES

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

DR. JACOB JOSEPH CHEVLEN DO (NPI 1619504859) is an individual emergency medicine provider in Mount Gilead, Ohio, licensed in Ohio (34.015264) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619504859
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JACOB JOSEPH CHEVLENCredential: DO
Location Address651 W MARION RDMount Gilead, OH 43338-1027
Mailing Address307 S Evergreen AveWoodbury, NJ 08096-2739
Phone(419) 949-3180
Sole ProprietorNo
Enumeration DateMarch 26, 2020
Last NPPES UpdateJune 27, 20254 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1619504859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 34.015264
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 34.015264 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
651 W MARION RD, Mount Gilead, OH 43338
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Joseph Chevlen Do 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.

Medicare Billing Reassignments

3

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

Pomerene Hospital
49 mi
Critical Access
981 WOOSTER RD
Millersburg, OH 44654
  • Reassigned Medicare billing, Ohio enrollment
  • 103 clinicians in this Medicare group
NPI 1770957185 (330) 674-1584
Signify Health, LLC
936 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Ohio Emergency Care Services Inc
  • Reassigned Medicare billing, Ohio enrollment
  • 179 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43338 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

MORROW COUNTY HOSPITAL
General Acute Care Hospital (Critical Access)
651 W MARION RD
MOUNT GILEAD, OH 43338
Morrow County (419) 946-5015
DR. DONNA DEFILIPPO D.O.
Family Medicine
651 W MARION RD
MOUNT GILEAD, OH 43338
Morrow County (231) 250-4148
HOSPITAL MEDICINE SERVICES OF OHIO, INC.
Hospitalist
651 W MARION RD
MOUNT GILEAD, OH 43338
Morrow County (419) 946-5015
TAYLOR PEARCE PT, DPT
Physical Therapist
651 W MARION RD
MOUNT GILEAD, OH 43338
Morrow County (419) 949-3086
ANGELA MARIE DRESSLER APRN
Nurse Practitioner (Family)
651 W MARION RD
MOUNT GILEAD, OH 43338
Morrow County (419) 746-5015
MORROW COUNTY HOSPITAL
Clinic/Center (Infusion Therapy)
651 W MARION RD
MOUNT GILEAD, OH 43338
Morrow County (419) 946-5015
ANGIE LYNN WHITT MSN, APRN, FNP
Nurse Practitioner (Family)
651 W MARION RD
MOUNT GILEAD, OH 43338
Morrow County (419) 946-5015
LISA B LEVERING PT
Physical Therapist
651 W MARION RD
MOUNT GILEAD, OH 43338
Morrow County (419) 946-5015

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 Jacob Chevlen's NPI number?

The NPI number for Jacob Chevlen is 1619504859. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Jacob Chevlen located?

Jacob Chevlen practices at 651 W Marion Rd, Mount Gilead, OH 43338. The listed phone number is (419) 949-3180.

What is Jacob Chevlen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacob Chevlen enrolled in Medicare?

Yes. Jacob Chevlen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacob Chevlen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Chevlen reassigns Medicare benefits to 3 organizations: Pomerene Hospital (Millersburg, OH), Signify Health, LLC (Dallas, TX) and Ohio Emergency Care Services Inc (OH). 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 Jacob Chevlen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Chevlen accept?

Health plans from CareSource (Common Ground Healthcare) and MedMutual list Jacob Chevlen 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.

When was this NPI record last updated?

The NPPES record for Jacob Chevlen was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.