PETER L JEBSON MD
NPI 1760578553
Orthopaedic Surgery - Hand Surgery in Grand Rapids, MI

NPI Status: Active since October 05, 2006

Contact Information

4100 LAKE DR SE
STE. 300
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 267-8860
Fax: (616) 267-8442

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  • Individual
  • Male
  • Orthopaedic Surgery
  • Hand Surgery
  • PECOS Enrolled

About PETER JEBSON

This page provides the complete NPI Profile along with additional information for Peter Jebson, a provider established in Grand Rapids, Michigan with a medical specialization in Orthopaedic Surgery, focusing in hand surgery . The healthcare provider is registered in the NPI registry with number 1760578553 assigned on October 2006. The practitioner's primary taxonomy code is 207XS0106X with license number 4301069004 (MI). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1760578553
Provider Name
PETER L JEBSON MD
Gender
Male
Entity Type
Individual
Location Address
4100 LAKE DR SE STE. 300 GRAND RAPIDS, MI 49546
Location Phone
(616) 267-8860
Location Fax
(616) 267-8442
Mailing Address
100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
Mailing Phone
(616) 486-6790
Is Sole Proprietor?
No
Enumeration Date
10-05-2006
Last Update Date
11-13-2014
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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

Orthopaedic Surgery Hand Surgery

Taxonomy Code
207XS0106X
Type
Allopathic & Osteopathic Physicians
License No.
4301069004
License State
MI
Taxonomy Description
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

4301069004 (MI)

Medicare Participation & PECOS Enrollment Status

Peter Jebson 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: Durable Medical Equipment (DME) 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

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

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

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • 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 49546 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $84.74
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.68
  • Average New Patient Copayment $21.18
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.67

Established Patients Visit Costs *

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

  • Average Established Patient Price $68.07
  • Minimum Established Patient Price $17.09
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $17.01
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760578553, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 1 + 0 + 7 + 1 + 6 + 5 + 1 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1760578553.

Other Providers at the Same Location


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

Pain Medicine (Interventional Pain Medicine)
4100 LAKE DR SE, STE 305
GRAND RAPIDS, MI 49546
Pain Medicine (Interventional Pain Medicine)
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Internal Medicine
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Internal Medicine
4100 LAKE DR SE, STE 300
GRAND RAPIDS, MI 49546
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Physical Therapist
4100 LAKE DR SE, STE 305
GRAND RAPIDS, MI 49546
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, S-200
GRAND RAPIDS, MI 49546
Psychologist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Internal Medicine (Gastroenterology)
4100 LAKE DR SE, S-205
GRAND RAPIDS, MI 49546
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, S-200
GRAND RAPIDS, MI 49546
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, S-200
GRAND RAPIDS, MI 49546
Internal Medicine
4100 LAKE DR SE, S-200
GRAND RAPIDS, MI 49546
Physician Assistant
4100 LAKE DR SE, STE 305
GRAND RAPIDS, MI 49546
Social Worker
4100 LAKE DR SE, STE 305
GRAND RAPIDS, MI 49546
Psychologist (Clinical)
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Clinic/Center (Radiology)
4100 LAKE DR SE, S-102
GRAND RAPIDS, MI 49546
Nurse Practitioner
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Psychologist (Clinical)
4100 LAKE DR SE, STE 305
GRAND RAPIDS, MI 49546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760578553, enumerated as an "individual" on October 05, 2006.

The provider is located at 4100 LAKE DR SE STE. 300 GRAND RAPIDS, MI 49546 and the phone number is (616) 267-8860.

Orthopaedic Surgery with taxonomy code 207XS0106X and a focus in Hand Surgery.