JEAVE RESERVA M.D.
NPI 1669731618
Dermatology in Springfield, IL

Active since May 11, 2012PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
900 N 1ST ST, SPRINGFIELD, IL 62702(217) 528-7541 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2020, Mar 17, 2018, Mar 27, 2017 (3 updates tracked since 2017).

About Jeave Reserva M.d. NPPES

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

JEAVE RESERVA M.D. (NPI 1669731618) is an individual dermatology provider in Springfield, Illinois, licensed in Illinois (036153066) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669731618
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJEAVE RESERVACredential: M.D.
Location Address900 N 1ST STSpringfield, IL 62702-3749
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 2012
Enumeration DateMay 11, 2012
Last NPPES UpdateJuly 28, 20203 updates tracked since enumeration
NPPES CertifiedJuly 28, 2020
NPI 1669731618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 036153066
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
900 N 1ST ST, Springfield, IL 62702

Secondary Practice Locations 2

Location 1321 N La Grange RdLA Grange Park, IL 60526-5622 · Phone (888) 584-7888
Location 22160 S 1st AveMaywood, IL 60153-3328 · Phone (708) 216-6533

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

Jeave Reserva M.d. 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 ID5698031581
PECOS Enrollment IDI20200716000399
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 19

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,017 services282 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.
423 services310 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
422 services329 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.
415 services332 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
270 services227 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
166 services147 patients

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model

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.

Nurse Practitioner (Gerontology)
900 N 1ST ST
SPRINGFIELD, IL 62702
Advanced Practice Midwife
900 N 1ST ST
SPRINGFIELD, IL 62702
Obstetrics & Gynecology
900 N 1ST ST
SPRINGFIELD, IL 62702
Physician Assistant
900 N 1ST ST
SPRINGFIELD, IL 62702
Physical Therapist
900 N 1ST ST
SPRINGFIELD, IL 62702
Colon & Rectal Surgery
900 N 1ST ST
SPRINGFIELD, IL 62702
Obstetrics & Gynecology (Gynecologic Oncology)
900 N 1ST ST
SPRINGFIELD, IL 62702
Obstetrics & Gynecology
900 N 1ST ST
SPRINGFIELD, IL 62702

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 Jeave Reserva's NPI number?

The NPI number for Jeave Reserva is 1669731618. It was assigned to this individual provider in the NPPES registry on May 11, 2012.

Where is Jeave Reserva located?

Jeave Reserva practices at 900 N 1st St, Springfield, IL 62702. The listed phone number is (217) 528-7541.

What is Jeave Reserva's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jeave Reserva enrolled in Medicare?

Yes. Jeave Reserva 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.

Is Jeave Reserva affiliated with any hospitals?

According to CMS data, Jeave Reserva is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Jeave Reserva was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.