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DR. JEFFREY RYAN RICE M.D.
NPI 1821390717
Surgery - Plastic and Reconstructive Surgery in Du Bois, PA

Active since November 26, 2010PECOS EnrolledAccepts Medicare Assignment
92.35/100
CMS Quality Rating
90 BEAVER DR, SUITE 215 D, DU BOIS, PA 15801(814) 503-8368(814) 503-8562 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jeffrey Ryan Rice M.d. NPPES

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

DR. JEFFREY RYAN RICE M.D. (NPI 1821390717) is an individual plastic and reconstructive surgery provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MD438042) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Temple University School Of Medicine (2006).

NPPES Registry Identity

NPI1821390717
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. JEFFREY RYAN RICECredential: M.D.
Location Address90 BEAVER DR, SUITE 215 DDu Bois, PA 15801-2440
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-6560 · Fax (814) 372-2848
Phone(814) 503-8368
Fax(814) 503-8562
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2006
Enumeration DateNovember 26, 2010
Last NPPES UpdateApril 28, 2016
✔ NPI 1821390717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in PA · MD438042
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgeryTaxonomy 208600000X · License MD438042 (PA)
90 BEAVER DR, Du Bois, PA 15801
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Other Identifiers 2

Medicare PIN360245
Medicaid102941336PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Jeffrey Ryan Rice 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 ID3971721259
PECOS Enrollment IDI20140828000602
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 Reassignment

Medicare enrollment records show Jeffrey Rice reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dubois Regional Medical Group, PC
0.3 mi
Multi-Specialty
529 SUNFLOWER DR
Du Bois, PA 15801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 28 clinicians in this Medicare group
NPI 1285728915 (814) 375-6560

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services56 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
Release of wrist ligament using an endoscope 29848
This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.
24 services20 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032
This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
20 services20 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less 12051
This procedure involves repairing a wound on your face, ears, eyelids, nose, lips, or mouth. The wound is 2.5 cm or less in size. The repair process includes cleaning, treating, and stitching the wound to promote optimal healing. It's a standard, safe procedure.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391312
Location100 Hospital RoadBrookville, PA 15825 · Jefferson County
Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

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.

92.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability91
Improvement Activities40

Reported Quality Measures

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%1,381 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%21 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%78 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
13%130 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
76%130 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
25%130 patients2/55-star benchmark: 79%
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 20

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

DR. BONNY L BECK M.D.
Specialist
90 BEAVER DR, SUITE 121D
DU BOIS, PA 15801
Clearfield County (814) 371-3323
BREEZEWOOD BEHAVIORAL HEALTH SERVICES, INC
Psychologist (Counseling)
90 BEAVER DR, STE 117D
DU BOIS, PA 15801
Clearfield County (814) 371-1340
MY CARE NOW, LLC
Family Medicine
90 BEAVER DR, BUILDING C
DU BOIS, PA 15801
Clearfield County (814) 371-2273
PA ORAL FACIAL & IMPLANT SURGERY
Dentist (Oral and Maxillofacial Surgery)
90 BEAVER DR, SUITE 101A
DU BOIS, PA 15801
Clearfield County (814) 375-0500
AMY VEZZA CRNP
Nurse Practitioner (Adult Health)
90 BEAVER DR, SUITE 211D
DU BOIS, PA 15801
Clearfield County (814) 375-6000
J. RICE ORAL MAXILLOFACIAL AND AESTHETIC FACIAL SURGERY P.C.
Dentist (Oral and Maxillofacial Surgery)
90 BEAVER DR
DU BOIS, PA 15801
Clearfield County (814) 375-0500
DR. ERIC P. PECK D.O.
Family Medicine
90 BEAVER DR, BUILDING C
DU BOIS, PA 15801
Clearfield County (814) 371-2273
BONNY L BECK MD P C
Specialist
90 BEAVER DR, SUITE 121D
DU BOIS, PA 15801
Clearfield County (814) 371-3323

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 Rice's NPI number?

The NPI number for Jeffrey Rice is 1821390717. It was assigned to this individual provider in the NPPES registry on November 26, 2010.

Where is Jeffrey Rice located?

Jeffrey Rice practices at 90 Beaver Dr Suite 215 D, Du Bois, PA 15801. The listed phone number is (814) 503-8368.

What is Jeffrey Rice's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Jeffrey Rice enrolled in Medicare?

Yes. Jeffrey Rice 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 organization bills Medicare for Jeffrey Rice's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Rice reassigns Medicare benefits to Dubois Regional Medical Group, PC (Du Bois, PA). The 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 Rice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Rice accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jeffrey Rice 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 Rice affiliated with any hospitals?

According to CMS data, Jeffrey Rice is affiliated with Penn Highlands Dubois, Penn Highlands Brookville and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Jeffrey Rice was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.