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MR. JEFFREY J REVILL MD
NPI 1679567523
Family Medicine in Columbia, TN

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment
1530 CENTER STAR RD, COLUMBIA, TN 38401(931) 626-0117(931) 380-3640 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jeffrey J Revill Md NPPES

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

MR. JEFFREY J REVILL MD (NPI 1679567523) is an individual family medicine provider in Columbia, Tennessee, licensed in Kentucky (C3932) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Dyersburg Regional Medical Center, and is a graduate of East Tennessee State University Quillen College Of Medicine (2001).

NPPES Registry Identity

NPI1679567523
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. JEFFREY J REVILLCredential: MD
Location Address1530 CENTER STAR RDColumbia, TN 38401
Mailing Address1530 Center Star RoadColumbia, TN 38401 · (931) 626-0117 · Fax (931) 380-3640
Phone(931) 626-0117
Fax(931) 380-3640
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2001
Enumeration DateSeptember 7, 2005
Last NPPES UpdateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
✔ NPI 1679567523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KY · C3932✔ Licensed in OH · 35.098156
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 37837 (TN)
1530 CENTER STAR RD, Columbia, TN 38401
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Other Identifiers 2

Medicaid0056324OH
Medicaid3897284TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health, Oscar Health Maintenance Organization of Florida 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

Mr. Jeffrey J Revill 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 ID2961472683
PECOS Enrollment IDI20040729001036
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

11

Medicare enrollment records show Jeffrey Revill reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Services Of Tn, PC
35 mi
Emergency Medicine
2300 PATTERSON ST
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 414 clinicians in this Medicare group
NPI 1720785884 (615) 342-1000
Hardin Emergency Group LLC
77 mi
Emergency Medicine
2006 WAYNE RD
Savannah, TN 38372
  • Reassigned Medicare billing, Tennessee enrollment
  • 37 clinicians in this Medicare group
NPI 1972850477 (800) 893-9698
Putnam Emergency Physicians, PLLC
89 mi
Emergency Medicine
1 MEDICAL CENTER BLVD
Cookeville, TN 38501
  • Reassigned Medicare billing, Tennessee enrollment
  • 78 clinicians in this Medicare group
NPI 1891475752 (931) 528-2541
Concord Company Of Tennessee PLLC
131 mi
Emergency Medicine
910 WALLACE AVE
Leitchfield, KY 42754
  • Reassigned Medicare billing, Kentucky enrollment
  • 107 clinicians in this Medicare group
NPI 1649743667 (270) 256-9400
T M Carr MD PC
137 mi
Emergency Medicine
400 E TICKLE ST
Dyersburg, TN 38024
  • Reassigned Medicare billing, Tennessee enrollment
  • 256 clinicians in this Medicare group
NPI 1992706097 (731) 285-2410
App Of Tennessee Ed, PLLC
170 mi
Emergency Medicine
907 E LAMAR ALEXANDER PKWY
Maryville, TN 37804
  • Reassigned Medicare billing, Tennessee enrollment
  • 390 clinicians in this Medicare group
NPI 1003230236 (865) 983-7211
Emergency Coverage, LLC
214 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Sound Physicians Emergency Medicine Of Kentucky PLLC
307 mi
Emergency Medicine
1000 SAINT CHRISTOPHER DR
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • 38 clinicians in this Medicare group
NPI 1720587447 (606) 833-3333
Hospitalist Medicine Physicians Of Ohio - Cincinnati Professional Corp
339 mi
Emergency Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 99 clinicians in this Medicare group
NPI 1508698739 (740) 779-7500
North Central Ohio Family Care Center, Inc
417 mi
Specialist
269 PORTLAND WAY S
Galion, OH 44833
  • Reassigned Medicare billing, Ohio enrollment
  • 252 clinicians in this Medicare group
NPI 1689822827 (419) 468-4841

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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
236 services217 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
220 services203 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
93 services91 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
44 services43 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Dyersburg Regional Medical Center

Acute Care Hospitals · Dyersburg, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440072
Location400 East Tickle StreetDyersburg, TN 38024 · Dyer County
Emergency services Birthing friendly

Southern Tennessee Regional Health System Lawrence

Acute Care Hospitals · Lawrenceburg, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440175
Location1607 South Locust AvenueLawrenceburg, TN 38464 · Lawrence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Revill's NPI number?

The NPI number for Jeffrey Revill is 1679567523. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Jeffrey Revill located?

Jeffrey Revill practices at 1530 Center Star Rd, Columbia, TN 38401. The listed phone number is (931) 626-0117.

What is Jeffrey Revill's specialty?

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

Is Jeffrey Revill enrolled in Medicare?

Yes. Jeffrey Revill 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 Revill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Revill reassigns Medicare benefits to 11 organizations: Emergency Medicine Services Of Tn, PC (Nashville, TN), Hardin Emergency Group LLC (Savannah, TN), Putnam Emergency Physicians, PLLC (Cookeville, TN), Concord Company Of Tennessee PLLC (Leitchfield, KY), T M Carr MD PC (Dyersburg, TN) and 6 more organizations, listed in the Medicare section above. 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 Revill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Revill accept?

Health plans from CareSource, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Jeffrey Revill 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 Revill affiliated with any hospitals?

According to CMS data, Jeffrey Revill is affiliated with Dyersburg Regional Medical Center and Southern Tennessee Regional Health System Lawrence.

When was this NPI record last updated?

The NPPES record for Jeffrey Revill was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.