JEFFREY TODD VAN DERMARK MD
NPI 1639136617
Emergency Medicine - Emergency Medical Services in Dallas, TX

Q: What is Jeffrey Van Dermark's NPI number?

The NPI number for Jeffrey Van Dermark is 1639136617. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Q: What is Jeffrey Van Dermark's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Active since April 26, 2006PECOS Enrolled

5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-3067 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Jeffrey Todd Van Dermark Md NPPES

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

JEFFREY TODD VAN DERMARK MD (NPI 1639136617) is an individual emergency medical services provider in Dallas, Texas, licensed in Texas (M2848) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639136617

Entity TypeIndividualMale

Primary Taxonomy207PE0004X

Provider Legal NameJEFFREY TODD VAN DERMARKCredential: MD

Location Address5323 HARRY HINES BLVDDallas, TX 75390-7208

Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 648-3067

Phone(214) 648-3067

Sole ProprietorNo

Enumeration DateApril 26, 2006

Last NPPES UpdateApril 22, 2008

✔ NPI 1639136617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

License✔ Licensed in TX · M2848

Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

5323 HARRY HINES BLVD, Dallas, TX 75390

Open in Google Maps ↗

Other Identifiers 3

Medicaid176495301TX

Medicare UPINE81250

Medicare ID-Type Unspecified8G0419TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Todd Van Dermark Md 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

Medicare enrollment records show Jeffrey Van Dermark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Southwestern Medical Center At Dallas

Same address

Orthopaedic Surgery

5323 HARRY HINES BLVD
Dallas, TX 75390

Reassigned Medicare billing, Texas enrollment
5,299 clinicians in this Medicare group

NPI 1083669766 (214) 645-0624

Paragon Emergency Services LLC

959 mi

Emergency Medicine

200 AVENUE F NE
Winter Haven, FL 33881

Reassigned Medicare billing, Florida enrollment
1,065 clinicians in this Medicare group

NPI 1912101650 (863) 293-1121

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 75390 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

MRS. TANYA MARIE PLETIN PA-C

Physician Assistant