JEFFREY JESSADA LERTDILOK FNP-C
NPI 1720621071
Nurse Practitioner - Family in Carrollton, TX

Active since October 18, 2019PECOS EnrolledAccepts Medicare Assignment
49.44/100
CMS Quality Rating
4100 FAIRWAY DR STE 320, CARROLLTON, TX 75010(972) 236-7608 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Jessada Lertdilok Fnp-c NPPES

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

JEFFREY JESSADA LERTDILOK FNP-C (NPI 1720621071) is an individual family provider in Carrollton, Texas, licensed in Texas (AP142915) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720621071
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEFFREY JESSADA LERTDILOKCredential: FNP-C
Location Address4100 FAIRWAY DR STE 320Carrollton, TX 75010-6537
Mailing Address4132 Catawba AveCarrollton, TX 75010-1196 · (972) 746-8250
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 18, 2019
NPI 1720621071 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 TX · AP142915
4100 FAIRWAY DR STE 320, Carrollton, TX 75010

Accepted 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 Jessada Lertdilok Fnp-c 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 ID3375952567
PECOS Enrollment IDI20210428002850
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 20

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
32,820 services462 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
23,730 services38 patients
Injection, tildrakizumab, 1 mg J3245
Tildrakizumab is a medication injected under the skin to treat moderate to severe plaque psoriasis, a skin condition. It works by reducing the effects of a substance in the body that can cause inflammation.
13,600 services62 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
5,275 services15 patients
Injection, omalizumab, 5 mg J2357
Omalizumab is a medication given via injection. It's used to treat severe allergic asthma and chronic hives when other treatments fail. The 5mg dose is determined by your doctor based on your weight and condition.
4,575 services13 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
2,320 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75010 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

49.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.93
Improvement Activities40
Cost14.09

Other Providers at the Same Location NPPES

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

Family Medicine (Adult Medicine)
4100 FAIRWAY DR STE 320
CARROLLTON, TX 75010

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 Lertdilok's NPI number?

The NPI number for Jeffrey Lertdilok is 1720621071. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Where is Jeffrey Lertdilok located?

Jeffrey Lertdilok practices at 4100 Fairway Dr Ste 320, Carrollton, TX 75010. The listed phone number is (972) 236-7608.

What is Jeffrey Lertdilok's specialty?

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

Is Jeffrey Lertdilok enrolled in Medicare?

Yes. Jeffrey Lertdilok 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 Lertdilok accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Jeffrey Lertdilok 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 Lertdilok was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.