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JESSICA S KING DO
NPI 1649615923
Family Medicine in Champlain, NY

Active since May 01, 2013PECOS EnrolledAccepts Medicare Assignment
79.37/100
CMS Quality Rating
481 ROUTE 11, CHAMPLAIN, NY 12919(518) 298-2691(518) 298-8241 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2017, Aug 18, 2016, May 13, 2016 (3 updates tracked since 2016).

About Jessica S King Do NPPES

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

JESSICA S KING DO (NPI 1649615923) is an individual family medicine provider in Champlain, New York, licensed in New York (279899) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2013).

NPPES Registry Identity

NPI1649615923
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJESSICA S KINGCredential: DO
Location Address481 ROUTE 11Champlain, NY 12919-4819
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 824-2388
Phone(518) 298-2691
Fax(518) 298-8241
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2013
Enumeration DateMay 1, 2013
Last NPPES UpdateFebruary 7, 20173 updates tracked since enumeration
✔ NPI 1649615923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 279899
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.
481 ROUTE 11, Champlain, NY 12919
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Other Identifiers 2

Medicare PINJ400318494NY
Medicaid04385342NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica S King Do 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 ID9638464340
PECOS Enrollment IDI20220503002192
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 Jessica King reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rumford Community Family Health Center Inc.
143 mi
Specialist
431 FRANKLIN ST
Rumford, ME 04276
  • Reassigned Medicare billing, Maine enrollment
  • 77 clinicians in this Medicare group
NPI 1699967224 (207) 364-7831
Rumford Hospital
143 mi
Critical Access
420 FRANKLIN ST
Rumford, ME 04276
  • Reassigned Medicare billing, Maine enrollment
  • 544 clinicians in this Medicare group
NPI 1205991122 (207) 369-1000
Central Maine Medical Center
169 mi
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
NPI 1689653487 (207) 795-5646

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

Hospital Affiliations CMS Care Compare 2

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

Rumford Hospital

Critical Access Hospitals · Rumford, ME
OwnershipProprietary
CMS Certification Number201306
Location420 Franklin StreetRumford, ME 04276 · Oxford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12919 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

79.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.66
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers21 claims69 services$6.78 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims17 services$1.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier25 claims25 services$95.56 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers15 claims15 services$24.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MARILYN P MCCLURE FNP
Nurse Practitioner (Family)
481 ROUTE 11
CHAMPLAIN, NY 12919
Clinton County (518) 298-2691
SHAHBANOO GHAFFARI ZANDI N.P
Nurse Practitioner (Adult Health)
481 ROUTE 11
CHAMPLAIN, NY 12919
Clinton County (518) 298-2691

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 Jessica King's NPI number?

The NPI number for Jessica King is 1649615923. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is Jessica King located?

Jessica King practices at 481 Route 11, Champlain, NY 12919. The listed phone number is (518) 298-2691.

What is Jessica King's specialty?

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

Is Jessica King enrolled in Medicare?

Yes. Jessica King 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.

Which organizations bill Medicare for Jessica King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica King reassigns Medicare benefits to 3 organizations: Rumford Community Family Health Center Inc. (Rumford, ME), Rumford Hospital (Rumford, ME) and Central Maine Medical Center (Lewiston, ME). 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 Jessica King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica King accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Jessica King 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 Jessica King affiliated with any hospitals?

According to CMS data, Jessica King is affiliated with Central Maine Medical Center and Rumford Hospital.

When was this NPI record last updated?

The NPPES record for Jessica King was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.