DR. JERRY R POWELL II MD
NPI 1619958378
Family Medicine in Rochester, IN

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
90.21/100
CMS Quality Rating
1400 E 9TH ST, ROCHESTER, IN 46975(574) 224-1048(574) 224-1103 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry R Powell Ii Md NPPES

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

DR. JERRY R POWELL II MD (NPI 1619958378) is an individual family medicine provider in Rochester, Indiana, licensed in Indiana (01053633) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and maintains a secondary practice location in Tipton.

NPPES Registry Identity

NPI1619958378
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JERRY R POWELL IICredential: MD
Location Address1400 E 9TH STRochester, IN 46975
Mailing Address1400 E 9th StRochester, IN 46975-8937 · (574) 224-1048 · Fax (574) 224-1103
Fax(574) 224-1103
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1999
Enumeration DateNovember 9, 2005
Last NPPES UpdateNovember 12, 2019
NPI 1619958378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01053633
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 01053633A (IN)
1400 E 9TH ST, Rochester, IN 46975

Secondary Practice Location 1

Location 1239 Ash StTipton, IN 46072-1752 · Phone (765) 675-8733 · Fax (765) 675-7121

Other Identifiers 2

Medicaid200231510IN
Medicaid200001940AIN

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

Dr. Jerry R Powell Ii 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.

PECOS PAC ID5698661775
PECOS Enrollment IDI20040225000749
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
123 services123 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
97 services94 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
86 services86 patients

Hospital Affiliations CMS Care Compare 2

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

Woodlawn Hospital

Critical Access Hospitals · Rochester, IN
OwnershipGovernment - Local
CMS Certification Number151313
Location1400 E 9th StRochester, IN 46975 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46975 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.

90.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.75
Promoting Interoperability100
Improvement Activities40
Cost69.59

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.

Pediatrics
1400 E 9TH ST
ROCHESTER, IN 46975
Family Medicine
1400 E 9TH ST
ROCHESTER, IN 46975
Occupational Therapist
1400 E 9TH ST
ROCHESTER, IN 46975
Surgery
1400 E 9TH ST
ROCHESTER, IN 46975
Family Medicine
1400 E 9TH ST
ROCHESTER, IN 46975
Family Medicine
1400 E 9TH ST
ROCHESTER, IN 46975
Nurse Practitioner (Family)
1400 E 9TH ST
ROCHESTER, IN 46975
Family Medicine
1400 E 9TH ST
ROCHESTER, IN 46975

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 Jerry Powell's NPI number?

The NPI number for Jerry Powell is 1619958378. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Jerry Powell located?

Jerry Powell practices at 1400 E 9th St, Rochester, IN 46975. The listed phone number is (574) 224-1048.

What is Jerry Powell's specialty?

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

Is Jerry Powell enrolled in Medicare?

Yes. Jerry Powell 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 Jerry Powell accept?

Health plans from CareSource list Jerry Powell 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 Jerry Powell affiliated with any hospitals?

According to CMS data, Jerry Powell is affiliated with Marion General Hospital and Woodlawn Hospital.

When was this NPI record last updated?

The NPPES record for Jerry Powell was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.