DR. JEFFERY D CARRON MD
NPI 1760453823
Otolaryngology in Jackson, MS


Quality Rating: 76.38 out of 100 score

NPI Status: Active since January 27, 2006

Contact Information

2500 N STATE ST
DEPARTMENT OF OTOLARYNGOLOGY
JACKSON, MS
ZIP 39216
Phone: (601) 984-5160
Fax: (601) 815-6985

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  • Individual
  • Male
  • Years of Experience 30
  • Otolaryngology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JEFFERY CARRON

Jeffery Carron is a provider established in Jackson, Mississippi and his medical specialization is Otolaryngology with more than 30 years of experience. He graduated from Temple University School Of Medicine in 1995. The healthcare provider is registered in the NPI registry with number 1760453823 assigned on January 2006. The practitioner's primary taxonomy code is 207Y00000X with license number 17579 (MS). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1760453823
Provider Name
DR. JEFFERY D CARRON MD
Gender
Male
Entity Type
Individual
Location Address
2500 N STATE ST DEPARTMENT OF OTOLARYNGOLOGY JACKSON, MS 39216
Location Phone
(601) 984-5160
Location Fax
(601) 815-6985
Mailing Address
2500 N STATE ST DEPARTMENT OF OTOLARYNGOLOGY JACKSON, MS 39216
Mailing Phone
(601) 984-5160
Mailing Fax
(601) 815-6985
Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1995
Is Sole Proprietor?
No
Enumeration Date
01-27-2006
Last Update Date
06-27-2012
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Jeffery Carron is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 76.38, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $20.74 for a new patient copayment and $16.88 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
License No.
17579
License State
MS
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Arkansas Health & Wellness

    • Choice Bronze HSA (QualChoice) - POS
    • Complete Gold - PPO
    • Complete Gold + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
    • Connected Silver - PPO
    • Connected Silver (QualChoice) - POS
    • Connected Silver (QualChoiceLife) - PPO
    • Connected Silver + Vision + Adult Dental - PPO
    • Elite Bronze - PPO
  • Ambetter from Louisiana Healthcare Connections

    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Elite Gold - EPO
    • Elite Gold + Vision + Adult Dental - EPO
    • Everyday Bronze - EPO
    • Everyday Bronze + Vision + Adult Dental - EPO
  • Ambetter from Magnolia Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA with Walgreens - HMO
    • Choice Bronze HSA with Walgreens + Vision + Adult Dental - HMO
    • Clear Silver with Walgreens - HMO
    • Clear Silver with Walgreens + Vision + Adult Dental - HMO
    • Complete Gold with Walgreens - HMO
    • Complete Gold with Walgreens + Vision + Adult Dental - HMO
    • Complete Silver with Walgreens - HMO
  • Ambetter of Alabama

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Everyday Bronze - EPO
    • Everyday Bronze + Vision + Adult Dental - EPO
    • Everyday Silver - EPO
    • Everyday Silver + Vision + Adult Dental - EPO
  • Ambetter of Tennessee

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
    • Complete Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
  • Cigna Healthcare

    • Connect Bronze 5500 Enhanced Diabetes Care - EPO
    • Connect Bronze 6500 Indiv Med Deductible - EPO
    • Connect Bronze 8500 Indiv Med Deductible - EPO
    • Connect Bronze 9450 Indiv Med Deductible - EPO
    • Connect Bronze CMS Standard - EPO
    • Connect Gold 2500 Indiv Med Deductible - EPO
    • Connect Gold CMS Standard - EPO
    • Connect Silver 0 Indiv Med Deductible - EPO
    • Connect Silver 4000 Enhanced Diabetes Care - EPO
    • Connect Silver 5000 Indiv Med Deductible - EPO
  • Primewell Health Services of Mississippi

    • Essential Bronze 6500 - POS
    • Essential Gold 1500 - POS
    • Freedom Silver 4000 - POS
    • Savings Bronze 5500 - POS
    • Savings Bronze 7400 - POS
    • Standard Bronze 7500 - POS
    • Standard Gold 1500 - POS
    • Standard Silver 5900 - POS
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0400000178MEDICARE ID-TYPE UNSPECIFIED (04)MS 
512I040003MEDICARE PIN (08)MS 
302I045829MEDICARE PIN (08)MS 
H36235MEDICARE UPIN (02)MS 
0125783MEDICAID (05)MS 

PECOS Enrollment and Medicare Participation Status

Jeffery Carron is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 840219903

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20071107000181

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 39216 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.96
  • Minimum New Patient Price $53.5
  • Maximum New Patient Price $165.08
  • Average New Patient Copayment $20.74
  • Minimum New Patient Copayment $13.37
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.54
  • Minimum Established Patient Price $16.25
  • Maximum Established Patient Price $134.74
  • Average Established Patient Copayment $16.88
  • Minimum Established Patient Copayment $4.06
  • Maximum Established Patient Copayment $33.68

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 76.38 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 67.96

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 80

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760453823
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2712085684
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 8 + 5 + 6 + 8 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1760453823 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477556231UNIVERSITY OPHTHALMOLOGY ASSOCIATES
Organization
Ophthalmology2500 N STATE ST STE B329
JACKSON, MS 39216
(601) 815-3931
1770580961DR. BRIAN L CRABTREE PHARM.D.
Individual
Pharmacist (Psychiatric)2500 N STATE ST
JACKSON, MS 39216
(601) 351-8013
1699761064STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Organization
Rehabilitation Unit2500 N STATE ST
JACKSON, MS 39216
(866) 842-7574
1164499109DR. BARRY SAUL RUBEL D.M.D.
Individual
Dentist2500 N STATE ST
JACKSON, MS 39216
(601) 984-6030
1689641649 IRINA V BORISSOVA MD, PHD
Individual
Anesthesiology (Pediatric Anesthesiology)2500 N STATE ST DEPT. OF ANESTHESIOLOGY
JACKSON, MS 39216
(601) 984-5900
1215906573DR. TRACY MICHELLE DELLINGER D.D.S.
Individual
Dentist2500 N STATE ST UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY
JACKSON, MS 39216
(601) 984-6028
1871544155DR. KATIE S MCCLENDON PHARM.D.
Individual
Pharmacist2500 N STATE ST SCHOOL OF PHARMACY-OFFICE ANNEX
JACKSON, MS 39216
(601) 984-2638
1639123078 WILLIAM HUGH SOREY M.D.
Individual
Pediatrics2500 N STATE ST
JACKSON, MS 39216
(601) 815-8010
1003862707 RAPHAEL CORCORAN SNEED M.D.
Individual
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)2500 N STATE ST
JACKSON, MS 39216
(601) 984-2940
1043267990DR. KEVIN DEL BEN PHD
Individual
Psychologist (Clinical)2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1346297090MS. VICKY DIANNE MINNINGER CFNP
Individual
Nurse Practitioner2500 N STATE ST
JACKSON, MS 39216
(601) 984-6525
1578510962 DOMENIC P ESPOSITO M.D.
Individual
Neurological Surgery2500 N STATE ST N703 NEUROSURGERY DEPARTMENT
JACKSON, MS 39216
(601) 984-5706
1386681633DR. GRAYSON S NORQUIST M.D.
Individual
Psychiatry & Neurology (Psychiatry)2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1770521718MS. JUDITH ROSEMARY O'JILE PHD
Individual
Clinical Neuropsychologist2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1730127390 SAMUEL L. BARNETT M.D.
Individual
Neurological Surgery2500 N STATE ST N703 NEUROSURGERY DEPARTMENT
JACKSON, MS 39216
(601) 984-5706
1790723294MRS. JULIE A SCHUMACHER-COFFEY PHD
Individual
Psychologist (Clinical)2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1073551586DR. HANS-GEORG OTTO BOCK M.D.
Individual
Medical Genetics (Clinical Genetics (M.D.))2500 N STATE ST DEPARTMENT OF PREVENTIVE MEDICINE
JACKSON, MS 39216
(601) 984-1900
1518905124UNIVERSITY PATHOLOGY ASSOCIATES, PLLC
Organization
Clinical Medical Laboratory2500 N STATE ST
JACKSON, MS 39216
(601) 984-1530
1811938699DR. ELIZABETH ANNE CHRIST M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)2500 N STATE ST
JACKSON, MS 39216
(601) 815-8173
1285676908DR. WILLIAM RICHARD BOYTE M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)2500 N STATE ST
JACKSON, MS 39216
(601) 815-8173

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760453823, enumerated in the NPI registry as an "individual" on January 27, 2006

The provider is located at 2500 N State St Department Of Otolaryngology Jackson, Ms 39216 and the phone number is (601) 984-5160

The provider's speciality is Otolaryngology with taxonomy code 207Y00000X

The provider has more than 30 years of experience. He graduated from Temple University School Of Medicine in 1995.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $82.96 with an average copayment of $20.74 for new patient appointments. Established patients should expect a typical charge of $67.54 and an average copayment of 16.88. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on January 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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