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JEFFREY S FINE MD
NPI 1649272816
Internal Medicine - Gastroenterology in Irving, TX

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
6750 N MACARTHUR BLVD STE 300, IRVING, TX 75039(972) 253-4205(972) 401-0458 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2018, Mar 2, 2017 (2 updates tracked since 2017).

About Jeffrey S Fine Md NPPES

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

JEFFREY S FINE MD (NPI 1649272816) is an individual gastroenterology provider in Irving, Texas, licensed in Texas (M6131) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Sana Healthcare Carrollton D/b/a Carrollton Regional Medical Center, and is a graduate of Tulane University School Of Medicine (1986).

NPPES Registry Identity

NPI1649272816
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJEFFREY S FINECredential: MD
Location Address6750 N MACARTHUR BLVD STE 300Irving, TX 75039
Mailing AddressPo Box 986Colleyville, TX 76034-0986 · (817) 571-8181 · Fax (817) 510-1217
Phone(972) 253-4205
Fax(972) 401-0458
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1986
Enumeration DateJune 1, 2005
Last NPPES UpdateAugust 7, 20182 updates tracked since enumeration
✔ NPI 1649272816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · M6131
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSpecialistTaxonomy 174400000X · License 018765 (LA)
6750 N MACARTHUR BLVD STE 300, Irving, TX 75039
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Other Identifiers 2

Medicaid1847469 01TX
Medicaid1934348LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 S Fine 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 ID42276248
PECOS Enrollment IDI20061102000556
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 6

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
216 services71 patients
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.
51 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
22 services19 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
19 services18 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

2/5 CMS rating
OwnershipProprietary
CMS Certification Number450730
Location4343 North Josey LaneCarrollton, TX 75010 · Denton County

Medical City Las Colinas

Acute Care Hospitals · Irving, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450822
Location6800 N Macarthur BlvdIrving, TX 75039 · Dallas County
Emergency services Birthing friendly

Legent Orthopedic Hospital

Acute Care Hospitals · Carrollton, TX
OwnershipProprietary
CMS Certification Number670265
Location1401 E Trinity Mills RoadCarrollton, TX 75006 · Dallas County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75039 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%70 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

FINE DIGESTIVE HEALTH
Internal Medicine (Gastroenterology)
6750 N MACARTHUR BLVD STE 300
IRVING, TX 75039
Dallas County (972) 253-4205

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 Fine's NPI number?

The NPI number for Jeffrey Fine is 1649272816. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Jeffrey Fine located?

Jeffrey Fine practices at 6750 N Macarthur Blvd Ste 300, Irving, TX 75039. The listed phone number is (972) 253-4205.

What is Jeffrey Fine's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jeffrey Fine enrolled in Medicare?

Yes. Jeffrey Fine 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 Fine accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jeffrey Fine 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 Fine affiliated with any hospitals?

According to CMS data, Jeffrey Fine is affiliated with Sana Healthcare Carrollton D/B/A Carrollton Regional Medical Center, Medical City Las Colinas and Legent Orthopedic Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Fine was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.