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JEFFREY S FREEMAN D.O.
NPI 1831127091
Internal Medicine - Endocrinology, Diabetes & Metabolism in Philadelphia, PA

Active since June 28, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 39D0861517 · Waiver
4190 CITY AVE, SUITE 324, PHILADELPHIA, PA 19131(215) 871-1916(215) 871-1928 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffrey S Freeman D.o. NPPES

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

JEFFREY S FREEMAN D.O. (NPI 1831127091) is an individual endocrinology, diabetes & metabolism provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS004328L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is affiliated with Reading Hospital.

NPPES Registry Identity

NPI1831127091
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameJEFFREY S FREEMANCredential: D.O.
Location Address4190 CITY AVE, SUITE 324Philadelphia, PA 19131-1626
Mailing AddressPo Box 1533Blue Bell, PA 19422-0440 · (215) 871-1916 · Fax (215) 871-1928
Phone(215) 871-1916
Fax(215) 871-1928
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1978
Enumeration DateJune 28, 2006
Last NPPES UpdateFebruary 21, 2013
✔ NPI 1831127091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · OS004328L
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

4190 CITY AVE, Philadelphia, PA 19131
Open in Google Maps ↗

Other Identifiers 11

Other010027617PA · Railroad Medicare
Other277162PA · Aetna
Medicare UPIND77457
Medicaid0009085090004PA
Other33607PA · Keystone Mercy
Other2Y3246PA · Elder Care
Medicare ID-Type Unspecified083037PA
Other0054103000PA · Independence Blue Cross
Other0090850903PA · Americhoice
Other01943PA · Health Partners
Other083037PA · Highmark Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey S Freeman D.o. 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 ID4486741428
PECOS Enrollment IDI20071107000451, I20250728003786
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0861517

Jeffrey S Freeman Do Laboratory · Philadelphia, PA
Active · expires Aug 31, 2026
CLIA Number39D0861517
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJeffrey S. Freeman Do
Laboratory Phone(215) 871-1916
Laboratory LocationJeffrey S Freeman Do Laboratory4190 City Ave Ste 324, Philadelphia, PA 19131
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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.
733 services355 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
287 services83 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
206 services98 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
114 services104 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
96 services46 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.
76 services64 patients

Hospital Affiliations CMS Care Compare 4

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19131 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%77 patients5/55-star benchmark: 100%
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.
15%2,684 patients1/55-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.
98%552 patients4/55-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.
83%252 patients4/55-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.
18%387 patients1/55-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…
100%180 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 24% · 774 patients
6%774 patients1/55-star benchmark: 98%
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…
100%387 patients5/55-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…
2%387 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers36 claims466 services$17.62 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers38 claims1,130 services$2.30 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims14 services$173.80 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
66 suppliers212 claims783 services$6.14 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers15 claims15 services$2.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
30 suppliers83 claims164 services$1.04 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 20

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

RICHARD A. PASCUCCI DO
Internal Medicine (Rheumatology)
4190 CITY AVE, SUITE 330
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6337
DR. JOSEPH M. KACZMARCZYK D.O.
Obstetrics & Gynecology
4190 CITY AVE, STE 315
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6380
CITY LINE PEDIATRICS
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-1800
DR. CARL R PULLEN D.O.
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-1800
DR. ROSEMARY VICKERS D.O.
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-1800
MARGARET MARY WILKINS DO
Family Medicine
4190 CITY AVE, SUITE 100
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6380
DR. BRUCE STEVEN ZAHN ED.D.
Psychologist (Clinical)
4190 CITY AVE, PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE, RH226
PHILADELPHIA, PA 19131
Philadelphia County (256) 468-0600
DR. ANDREW JOSEPH SZABO D.O.
Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6690

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 Freeman's NPI number?

The NPI number for Jeffrey Freeman is 1831127091. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Jeffrey Freeman located?

Jeffrey Freeman practices at 4190 City Ave Suite 324, Philadelphia, PA 19131. The listed phone number is (215) 871-1916.

What is Jeffrey Freeman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Jeffrey Freeman enrolled in Medicare?

Yes. Jeffrey Freeman 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.

Does Jeffrey Freeman hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0861517) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jeffrey Freeman accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Jeffrey Freeman 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 Freeman affiliated with any hospitals?

According to CMS data, Jeffrey Freeman is affiliated with Reading Hospital, Hospital Of Univ Of Pennsylvania, Pottstown Hospital and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Freeman was last updated on February 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.