VICKI JETTER MD
NPI 1639198633
Pediatrics in Baldwin Harbour, NY

Active since July 19, 2006PECOS Enrolled
860 ATLANTIC AVE, BALDWIN HARBOUR, NY 11510(516) 868-6100(516) 546-8621 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vicki Jetter Md NPPES

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

VICKI JETTER MD (NPI 1639198633) is an individual pediatrics provider in Baldwin Harbour, New York, licensed in New York (168846) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639198633
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameVICKI JETTERCredential: MD
Location Address860 ATLANTIC AVEBaldwin Harbour, NY 11510
Mailing Address990 Stewart Ave, Suite 400Garden City, NY 11530-4822 · (516) 222-2022 · Fax (516) 222-8475
Fax(516) 546-8621
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateSeptember 5, 2012
NPI 1639198633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 168846
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

860 ATLANTIC AVE, Baldwin Harbour, NY 11510

Other Identifiers 1

Medicare UPINE44844

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Vicki Jetter 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11510 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 5

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

Nurse Practitioner
860 ATLANTIC AVE
BALDWIN HARBOUR, NY 11510
Pediatrics (Adolescent Medicine)
860 ATLANTIC AVE
BALDWIN, NY 11510
Pediatrics
860 ATLANTIC AVE
BALDWIN, NY 11510
Pediatrics
860 ATLANTIC AVE
BALDWIN HARBOUR, NY 11510
Registered Nurse (School)
860 ATLANTIC AVE
BALDWIN, NY 11510

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639198633, enumerated as an "individual" on July 19, 2006.

The provider is located at 860 ATLANTIC AVE BALDWIN HARBOUR, NY 11510 and the phone number is (516) 868-6100.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.