JEFFREY HAMILTON LICHT M.D.
NPI 1770642274
Internal Medicine - Nephrology in Yakima, WA

Active since December 08, 2006PECOS Enrolled
315 HOLTON AVE, SUITE 100, YAKIMA, WA 98902(509) 248-6292(509) 248-9134 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jeffrey Hamilton Licht M.d. NPPES

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

JEFFREY HAMILTON LICHT M.D. (NPI 1770642274) is an individual nephrology provider in Yakima, Washington, licensed in Washington (0021581) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770642274
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJEFFREY HAMILTON LICHTCredential: M.D.
Location Address315 HOLTON AVE, SUITE 100Yakima, WA 98902-3254
Mailing Address315 Holton Ave, Suite 100Yakima, WA 98902-3254 · (509) 248-6292 · Fax (509) 248-9134
Fax(509) 248-9134
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1770642274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in WA · 0021581
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
315 HOLTON AVE, Yakima, WA 98902

Other Identifiers 3

Medicaid1301506WA
Medicare ID-Type Unspecified8855326
Medicare UPINA06572

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeffrey Hamilton Licht M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98902 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
87%385 patients4/55-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…
99%453 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims780 services$1.71 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
12 suppliers184 claims15,156 services$0.29 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers62 claims8,940 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers68 claims9,180 services$0.16 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers71 claims9,960 services$0.94 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims77 services$1.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Nephrology)
315 HOLTON AVE, SUITE 100
YAKIMA, WA 98902
Radiology (Diagnostic Radiology)
315 HOLTON AVE, STE 102
YAKIMA, WA 98902
Internal Medicine (Nephrology)
315 HOLTON AVE, SUITE 100
YAKIMA, WA 98902
Radiology (Diagnostic Radiology)
315 HOLTON AVE, SUITE 102
YAKIMA, WA 98902
Radiology (Diagnostic Radiology)
315 HOLTON AVE, SUITE 102
YAKIMA, WA 98902
Dietitian, Registered
315 HOLTON AVE, SUITE 100
YAKIMA, WA 98902
Internal Medicine (Nephrology)
315 HOLTON AVE, SUITE 100
YAKIMA, WA 98902
Radiology (Diagnostic Radiology)
315 HOLTON AVE, STE 102
YAKIMA, WA 98902

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 Licht's NPI number?

The NPI number for Jeffrey Licht is 1770642274. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Jeffrey Licht located?

Jeffrey Licht practices at 315 Holton Ave Suite 100, Yakima, WA 98902. The listed phone number is (509) 248-6292.

What is Jeffrey Licht's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jeffrey Licht enrolled in Medicare?

Yes. Jeffrey Licht is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Licht was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.