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DR. JEFFREY R BARRA M.D.
NPI 1679548713
Family Medicine in Mount Vernon, IL

Active since February 22, 2006PECOS Enrolled
5100 LAKE TER NE, SUITE WC, MOUNT VERNON, IL 62864(618) 899-5001(618) 242-5152 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey R Barra M.d. NPPES

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

DR. JEFFREY R BARRA M.D. (NPI 1679548713) is an individual family medicine provider in Mount Vernon, Illinois, licensed in Illinois (036107295) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679548713
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEFFREY R BARRACredential: M.D.
Location Address5100 LAKE TER NE, SUITE WCMount Vernon, IL 62864-9665
Mailing Address5100 Lake Ter Ne, Suite WcMount Vernon, IL 62864-9665 · (618) 899-5001 · Fax (618) 242-5152
Phone(618) 899-5001
Fax(618) 242-5152
Sole ProprietorNo
Enumeration DateFebruary 22, 2006
Last NPPES UpdateMay 13, 2015
✔ NPI 1679548713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036107295
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.
5100 LAKE TER NE, Mount Vernon, IL 62864
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Other Identifiers 3

Medicare PINF400206586IL
Medicare UPINH97099IL
Medicaid036107295IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey R Barra M.d. 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 62864 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
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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

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

WALGREEN CO.
Pharmacy
5100 LAKE TER NE
MOUNT VERNON, IL 62864
Jefferson County (618) 244-8793

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 Barra's NPI number?

The NPI number for Jeffrey Barra is 1679548713. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Jeffrey Barra located?

Jeffrey Barra practices at 5100 Lake Ter NE Suite Wc, Mount Vernon, IL 62864. The listed phone number is (618) 899-5001.

What is Jeffrey Barra's specialty?

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

Is Jeffrey Barra enrolled in Medicare?

Yes. Jeffrey Barra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Barra was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.