JEFFREY BLAINE MARVEL M.D.
NPI 1740285063
Otolaryngology in Tullahoma, TN

Q: What is Jeffrey Marvel's NPI number?

The NPI number for Jeffrey Marvel is 1740285063. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Q: What is Jeffrey Marvel's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Marvel was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment

1821 N WASHINGTON ST, TULLAHOMA, TN 37388(931) 455-2005(931) 455-4450 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jeffrey Blaine Marvel M.d. NPPES

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

JEFFREY BLAINE MARVEL M.D. (NPI 1740285063) is an individual otolaryngology provider in Tullahoma, Tennessee, licensed in Montana (87585) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1740285063

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameJEFFREY BLAINE MARVELCredential: M.D.

Location Address1821 N WASHINGTON STTullahoma, TN 37388-2221

Mailing Address1821 N Washington StTullahoma, TN 37388-2221 · (931) 455-2005 · Fax (931) 455-4450

Phone(931) 455-2005

Fax(931) 455-4450

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateJune 14, 2005

Last NPPES UpdateMarch 5, 2025

NPPES CertifiedMarch 5, 2025

✔ NPI 1740285063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in MT · 87585

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedSpecialistTaxonomy 174400000X · License 29420 (TN)

1821 N WASHINGTON ST, Tullahoma, TN 37388

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Other Identifiers 2

Other3057919TN · Blue Cross Blue Shield

Medicaid3812095TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Oscar Insurance Company 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

Jeffrey Blaine Marvel M.d. 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 ID7911191275

PECOS Enrollment IDI20101101000034, I20250220003654, I20260105001071

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

Medicare enrollment records show Jeffrey Marvel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marvel Clinic P.C.

Same address

Specialist

1821 N WASHINGTON ST
Tullahoma, TN 37388

Reassigned Medicare billing, Tennessee enrollment
8 clinicians in this Medicare group

NPI 1760487086 (931) 455-2005

Sanford Health Of Northern Minnesota

917 mi

Physical Therapy

106 5TH ST SOUTH
Walker, MN 56484

Reassigned Medicare billing, Minnesota enrollment
607 clinicians in this Medicare group

NPI 1902261456 (218) 547-1900

Scl Health Medical Group - Billings, LLC

1,368 mi

General Practice

32 WICKS LN
Billings, MT 59105

Reassigned Medicare billing, Montana enrollment
438 clinicians in this Medicare group

NPI 1447866538 (406) 237-8400

Scl Health Medical Group-Butte LLC

1,540 mi

Rural Health

214 S MAIN ST
Boulder, MT 59632

Reassigned Medicare billing, Montana enrollment
278 clinicians in this Medicare group

NPI 1861031122 (406) 225-4201

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 7

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.

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

5,584 services137 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

1,769 services80 patients

Professional service for single injection of allergen 95115

A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.

1,628 services90 patients

Dilation of nasal sinus using an endoscope 31295

Dilation of the nasal sinus using an endoscope is a procedure to improve sinus drainage. A small tube with a camera, called an endoscope, is inserted into the nose. A balloon is then inflated to widen the sinus openings. This helps to relieve sinus pressure and symptoms.

14 services14 patients

Therapeutic fracture of nasal passages 30930

A therapeutic fracture of nasal passages is a medical procedure to correct issues with the nose's structure. It involves intentionally breaking and reshaping the nasal bones to improve breathing, correct deformities, or enhance appearance. This is done under anesthesia.

13 services13 patients

Dilation of sphenoid and frontal nasal sinus using an endoscope 31298

This procedure involves enlarging the openings of your sphenoid and frontal nasal sinuses using a thin, lighted tube called an endoscope. It helps to alleviate symptoms of sinusitis, improving your breathing and reducing discomfort.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240100

Location1300 Anne St NWBemidji, MN 56601 · Beltrami County

Emergency services Birthing friendly

St James Healthcare

Acute Care Hospitals · Butte, MT

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270017

Location400 S Clark StButte, MT 59701 · Silver Bow County

Emergency services Birthing friendly

St Vincent Healthcare

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270049

Location1233 N 30th StBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37388 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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.

Reported Quality Measures

Acute Otitis Externa (AOE): Topical Therapy

Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations

100%25 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%25 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

72%25 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

LONNIE SCHOLL PA-C

Physician Assistant