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JEFFREY W PETRY MD
NPI 1689652372
Family Medicine in Dayton, OH

Active since January 04, 2006PECOS Enrolled
30 E APPLE ST, STE 3300, DAYTON, OH 45409(937) 208-8394(937) 208-8388 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey W Petry Md NPPES

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

JEFFREY W PETRY MD (NPI 1689652372) is an individual family medicine provider in Dayton, Ohio, licensed in Ohio (35.051279) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689652372
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFFREY W PETRYCredential: MD
Location Address30 E APPLE ST, STE 3300Dayton, OH 45409-2939
Mailing Address30 E Apple St, Ste 3300Dayton, OH 45409-2939 · (937) 208-8394 · Fax (937) 208-8388
Phone(937) 208-8394
Fax(937) 208-8388
Sole ProprietorNo
Enumeration DateJanuary 4, 2006
Last NPPES UpdateNovember 25, 2013
✔ NPI 1689652372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.051279
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 ListedHospitalistTaxonomy 208M00000X · License 35-051279 (OH)
30 E APPLE ST, Dayton, OH 45409
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Other Identifiers 5

Medicare UPINF02882OH
Medicare PINH091070OH
Medicare PINH091071OH
Medicaid0593666OH
Medicare PIN0571289OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey W Petry Md 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 45409 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

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.

JEFFREY R MILLARD MD
Hospitalist
30 E APPLE ST, STE 6250
DAYTON, OH 45409
Montgomery County (937) 208-8394
AHMED MOHANDES MD
Internal Medicine
30 E APPLE ST, SUITE 6250
DAYTON, OH 45409
Montgomery County (937) 208-8394
AMBER MICHELLE SERNA FNP
Nurse Practitioner (Family)
30 E APPLE ST, STE NW 3300
DAYTON, OH 45409
Montgomery County (937) 208-8394
KELLY M THOBE PA
Physician Assistant
30 E APPLE ST, SUITE 5253
DAYTON, OH 45409
Montgomery County (937) 208-2552
PREMIER HEALTH SPECIALISTS INC
Surgery
30 E APPLE ST, STE 6258
DAYTON, OH 45409
Montgomery County (937) 208-5300
CRYSTAL GILLIGAN
Nurse Practitioner (Acute Care)
30 E APPLE ST, SUITE 5254A
DAYTON, OH 45409
Montgomery County (937) 208-4200
DR. FADI M TAYIM PH.D.
Clinical Neuropsychologist
30 E APPLE ST, SUITE 5254A
DAYTON, OH 45409
Montgomery County (937) 208-4200
DEBORAH LYNNE CONLEY RN
Registered Nurse
30 E APPLE ST, SUITE 6252
DAYTON, OH 45409
Montgomery County (937) 208-6232

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 Petry's NPI number?

The NPI number for Jeffrey Petry is 1689652372. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Jeffrey Petry located?

Jeffrey Petry practices at 30 E Apple St Ste 3300, Dayton, OH 45409. The listed phone number is (937) 208-8394.

What is Jeffrey Petry's specialty?

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

Is Jeffrey Petry enrolled in Medicare?

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

What insurance does Jeffrey Petry accept?

Health plans from CareSource and MedMutual list Jeffrey Petry 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Petry was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.