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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: August 02, 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 Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

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

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.

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.

What insurance does Jeffrey Revill accept?

Health plans from CareSource, 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 7 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.