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JEFFREY L. AUSTEN MD
NPI 1669483566
Internal Medicine - Nephrology in Zanesville, OH

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
94.12/100
CMS Quality Rating
3237 MAPLE AVE, ZANESVILLE, OH 43701(740) 450-3400(740) 450-3420 Get Directions Write a Review

NPPES record last updated: June 6, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeffrey L. Austen Md NPPES

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

JEFFREY L. AUSTEN MD (NPI 1669483566) is an individual nephrology provider in Zanesville, Ohio, licensed in Ohio (OH35-06-2150A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of Medical College Of Ohio (1990).

NPPES Registry Identity

NPI1669483566
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJEFFREY L. AUSTENCredential: MD
Location Address3237 MAPLE AVEZanesville, OH 43701-1312
Mailing Address3237 Maple AveZanesville, OH 43701-1312 · (740) 450-3400 · Fax (740) 450-3420
Phone(740) 450-3400
Fax(740) 450-3420
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1990
Enumeration DateAugust 10, 2006
Last NPPES UpdateJune 6, 2013
✔ NPI 1669483566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in OH · OH35-06-2150A
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3237 MAPLE AVE, Zanesville, OH 43701
Open in Google Maps ↗

Other Identifiers 8

Other3100138OH · Uhc
OtherM62150JOH · Health Plan
Medicare ID-Type UnspecifiedAU0783305OH · Camb Ofc Mc #
Other000000122289OH · Anthem
Medicare UPING02281OH
Medicare ID-Type UnspecifiedAU0783306OH · Zanes Ohio M/c #
Other130018567OH · Rr Medicare
Medicaid0141760OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Jeffrey L. Austen 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 ID1355362401
PECOS Enrollment IDI20060925000507
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

2

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

Nephrology Consultants Of Southeastern Ohio, Inc.
0.2 mi
Nephrology
3089 MAPLE AVE
Zanesville, OH 43701
  • Reassigned Medicare billing, Ohio enrollment
  • 8 clinicians in this Medicare group
NPI 1730284563 (740) 450-3400
Physicians Group Of Southeastern Ohio Inc
0.6 mi
Internal Medicine
3606 MAPLE AVE
Zanesville, OH 43701
  • Reassigned Medicare billing, Ohio enrollment
  • 70 clinicians in this Medicare group
NPI 1528177730 (740) 455-3304

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

Areas of Expertise CMS Part B claims 8

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 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.
375 services210 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
334 services131 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
243 services64 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
128 services105 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
127 services45 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services84 patients

Hospital Affiliations CMS Care Compare 5

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

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Coshocton Regional Medical Center

Acute Care Hospitals · Coshocton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360109
Location1460 Orange StreetCoshocton, OH 43812 · Coshocton County
Emergency services

Southeastern Ohio Regional Medical Center

Acute Care Hospitals · Cambridge, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360203
Location1341 North Clark StreetCambridge, OH 43725 · Guernsey County
Emergency services Birthing friendly

Selby General Hospital

Critical Access Hospitals · Marietta, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361319
Location1106 Colegate DriveMarietta, OH 45750 · Washington County
Emergency services

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361321
Location639 West Main StreetBarnesville, OH 43713 · Belmont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43701 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

94.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost56.85

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
50%216 patients3/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 97% · 31 patients
97%36 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
55%335 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%398 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
0%338 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$21.30 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
2 suppliers22 claims22 services$116.95 avg. paid by Medicare
Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers15 claims360 services$1.15 avg. paid by Medicare
Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier35 claims2,640 services$1.64 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers16 claims2,340 services$0.32 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier15 claims1,800 services$0.57 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 4

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

DR. RENATO M ROMAN MD
Internal Medicine (Nephrology)
3237 MAPLE AVE
ZANESVILLE, OH 43701
Muskingum County (740) 450-3400
SUMMER NEFF
Health Maintenance Organization
3237 MAPLE AVE, NEPHROLOGY CONSULTANTS OF SEO, INC.
ZANESVILLE, OH 43701
Muskingum County (740) 450-3400
COURTNEY LANE CAMP CNP
Nurse Practitioner (Adult Health)
3237 MAPLE AVE
ZANESVILLE, OH 43701
Muskingum County (740) 450-3400
DAVID M DEMBSKI MD
Internal Medicine (Nephrology)
3237 MAPLE AVE
ZANESVILLE, OH 43701
Muskingum County (740) 450-3400

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 Austen's NPI number?

The NPI number for Jeffrey Austen is 1669483566. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Jeffrey Austen located?

Jeffrey Austen practices at 3237 Maple Ave, Zanesville, OH 43701. The listed phone number is (740) 450-3400.

What is Jeffrey Austen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jeffrey Austen enrolled in Medicare?

Yes. Jeffrey Austen 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 Jeffrey Austen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Austen reassigns Medicare benefits to 2 organizations: Nephrology Consultants Of Southeastern Ohio, Inc. (Zanesville, OH) and Physicians Group Of Southeastern Ohio Inc (Zanesville, OH). 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 Jeffrey Austen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Austen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Jeffrey Austen 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 Austen affiliated with any hospitals?

According to CMS data, Jeffrey Austen is affiliated with Genesis Hospital, Coshocton Regional Medical Center, Southeastern Ohio Regional Medical Center, Selby General Hospital and Barnesville Hospital Association, Inc.

When was this NPI record last updated?

The NPPES record for Jeffrey Austen was last updated on June 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.