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JEFFREY ALLEN EATON NP, PHD
NPI 1700835436
Nurse Practitioner - Family in South Berwick, ME

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
57 PORTLAND ST, SOUTH BERWICK, ME 03908(207) 384-9212(207) 384-2008 Get Directions Write a Review

NPPES record last updated: May 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Allen Eaton Np, Phd NPPES

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

JEFFREY ALLEN EATON NP, PHD (NPI 1700835436) is an individual family provider in South Berwick, Maine, licensed in Maine (CNP81306) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1700835436
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEFFREY ALLEN EATONCredential: NP, PHD
Location Address57 PORTLAND STSouth Berwick, ME 03908-1203
Mailing Address57 Portland StSouth Berwick, ME 03908-1203 · (207) 384-9212 · Fax (207) 384-2008
Phone(207) 384-9212
Fax(207) 384-2008
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 9, 2006
Last NPPES UpdateMay 18, 2013
✔ NPI 1700835436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ME · CNP81306
57 PORTLAND ST, South Berwick, ME 03908
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINS24322
Medicare ID-Type UnspecifiedEA NP1763

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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

Jeffrey Allen Eaton Np, Phd 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 ID9032130596
PECOS Enrollment IDI20051212000690
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 3

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.

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.
130 services91 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.
104 services93 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 patients

Hospital Affiliations CMS Care Compare 2

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

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03908 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers18 claims18 services$38.79 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers18 claims18 services$85.21 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers13 claims37 services$31.27 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers15 claims15 services$16.46 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers20 claims106 services$1.97 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers21 claims21 services$32.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LYDIA HIGGINS
Physical Therapist
57 PORTLAND ST
SOUTH BERWICK, ME 03908
York County (207) 384-8130
HILLARY LANE PRIOR P.T., D.P.T.
Physical Therapist
57 PORTLAND ST
SOUTH BERWICK, ME 03908
York County (207) 384-7260
GREAT WORKS FAMILY PRACTICE
General Acute Care Hospital
57 PORTLAND ST, STE 2A
SOUTH BERWICK, ME 03908
York County (207) 384-9212
MS. LEIGH-AYER BILLING MS, CCC-SLP
Speech-Language Pathologist
57 PORTLAND ST
SOUTH BERWICK, ME 03908
York County (207) 384-7260
JACQUELINE LIPSKY MS CCC/SLP
Speech-Language Pathologist
57 PORTLAND ST
SOUTH BERWICK, ME 03908
York County (207) 384-7260
GREAT WORKS FAMILY PRACTICE, P.A.
Family Medicine
57 PORTLAND ST, SUITE 2A
SOUTH BERWICK, ME 03908
York County (207) 384-9212
TERESA DUNPHY
Physical Therapist
57 PORTLAND ST
SOUTH BERWICK, ME 03908
York County (207) 384-7260
DR. ANN NORA EHRET DO
Family Medicine
57 PORTLAND ST, SUITE 2A
SOUTH BERWICK, ME 03908
York County (207) 384-9212

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 Eaton's NPI number?

The NPI number for Jeffrey Eaton is 1700835436. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Jeffrey Eaton located?

Jeffrey Eaton practices at 57 Portland St, South Berwick, ME 03908. The listed phone number is (207) 384-9212.

What is Jeffrey Eaton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeffrey Eaton enrolled in Medicare?

Yes. Jeffrey Eaton 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 Eaton accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Jeffrey Eaton 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 Eaton affiliated with any hospitals?

According to CMS data, Jeffrey Eaton is affiliated with York Hospital and Wentworth-Douglass Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Eaton was last updated on May 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.