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JEFFREY L HALLETT MD
NPI 1760499313
Internal Medicine - Gastroenterology in Newburgh, IN

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
3800 VENETIAN WAY, STE 200, NEWBURGH, IN 47630(812) 477-6103(812) 477-4897 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 10, 2021, Oct 18, 2019, Sep 15, 2016 (3 updates tracked since 2016).

About Jeffrey L Hallett Md NPPES

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

JEFFREY L HALLETT MD (NPI 1760499313) is an individual gastroenterology provider in Newburgh, Indiana, licensed in Illinois (036085584) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1760499313
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJEFFREY L HALLETTCredential: MD
Location Address3800 VENETIAN WAY, STE 200Newburgh, IN 47630-8257
Mailing Address3800 Venetian WayNewburgh, IN 47630-8257 · (812) 469-3283 · Fax (812) 469-3285
Phone(812) 477-6103
Fax(812) 477-4897
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 2, 2006
Last NPPES UpdateNovember 10, 20213 updates tracked since enumeration
NPPES CertifiedOctober 25, 2021
✔ NPI 1760499313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 036085584
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3800 VENETIAN WAY, Newburgh, IN 47630
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, HealthPartners, Mountain Health CO-OP 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 L Hallett Md 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 ID9335278530
PECOS Enrollment IDI20230420001647, I20250611003515
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

6

Medicare enrollment records show Jeffrey Hallett reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pekin Prohealth Inc
213 mi
Family Medicine
600 S 13TH ST, SUITE M
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 142 clinicians in this Medicare group
NPI 1932150299 (309) 353-0825
Methodist Medical Center Of Illinois
220 mi
Family Medicine
120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
NPI 1184670663 (309) 671-8230
Centracare Clinic
601 mi
Multi-Specialty
16830 198TH AVE NW, CENTRACARE CLINIC - BIG LAKE
Big Lake, MN 55309
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,051 clinicians in this Medicare group
NPI 1013104348 (763) 263-7300
St. Cloud Hospital
628 mi
Home Health
110 2ND ST S STE 104
Waite Park, MN 56387
  • Reassigned Medicare billing, Minnesota enrollment
  • 415 clinicians in this Medicare group
NPI 1952350605 (320) 251-2700
Billings Clinic
1,104 mi
Family Medicine
620 S HAYNES AVE
Miles City, MT 59301
  • Reassigned Medicare billing, Montana enrollment
  • 1,264 clinicians in this Medicare group
NPI 1427194836 (406) 233-7000
Great Falls Clinic LLC
1,370 mi
Multi-Specialty
3000 15TH AVE S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 119 clinicians in this Medicare group
NPI 1801897780 (406) 454-2171

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 6

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
71 services71 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
46 services43 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
42 services42 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
25 services25 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
15 services15 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Great Falls Clinic Hospital

Acute Care Hospitals · Great Falls, MT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number270086
Location3010 15th Avenue SouthGreat Falls, MT 59405 · Cascade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47630 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

SCARLETT CAO MD
Internal Medicine
3800 VENETIAN WAY
NEWBURGH, IN 47630
Warrick County (812) 477-6103
LADONNA M SCHMIDT ACNP
Nurse Practitioner (Acute Care)
3800 VENETIAN WAY, STE 200
NEWBURGH, IN 47630
Warrick County (812) 477-6103
PAUL KOZAK DO
Internal Medicine (Gastroenterology)
3800 VENETIAN WAY
NEWBURGH, IN 47630
Warrick County (812) 477-6103
ABBY ELIZABETH DOSSETT AG-ACNP
Nurse Practitioner (Acute Care)
3800 VENETIAN WAY, STE 200
NEWBURGH, IN 47630
Warrick County (812) 477-6103
DIGESTIVE CARE OF EVANSVILLE, PC
Non-Pharmacy Dispensing Site
3800 VENETIAN WAY
NEWBURGH, IN 47630
Warrick County (812) 477-6103
DR. VAJRAVEL M. PRASAD MD
Internal Medicine (Gastroenterology)
3800 VENETIAN WAY, STE 200
NEWBURGH, IN 47630
Warrick County (812) 477-6103
KRISTA LAND NP-C
Nurse Practitioner (Family)
3800 VENETIAN WAY, STE 200
NEWBURGH, IN 47630
Warrick County (812) 477-6103
KONSTANTIN BORODA M.D.
Internal Medicine (Gastroenterology)
3800 VENETIAN WAY, STE 200
NEWBURGH, IN 47630
Warrick County (812) 266-2933

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 Hallett's NPI number?

The NPI number for Jeffrey Hallett is 1760499313. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Jeffrey Hallett located?

Jeffrey Hallett practices at 3800 Venetian Way Ste 200, Newburgh, IN 47630. The listed phone number is (812) 477-6103.

What is Jeffrey Hallett's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jeffrey Hallett enrolled in Medicare?

Yes. Jeffrey Hallett 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.

Which organizations bill Medicare for Jeffrey Hallett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Hallett reassigns Medicare benefits to 6 organizations: Pekin Prohealth Inc (Pekin, IL), Methodist Medical Center Of Illinois (Peoria, IL), Centracare Clinic (Big Lake, MN), St. Cloud Hospital (Waite Park, MN), Billings Clinic (Miles City, MT) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Hallett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Hallett accept?

Health plans from Blue Cross and Blue Shield of Montana, HealthPartners, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan and 1 other insurer list Jeffrey Hallett 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 Hallett affiliated with any hospitals?

According to CMS data, Jeffrey Hallett is affiliated with St Cloud Hospital and Great Falls Clinic Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Hallett was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.