JESSE RYAN VICTOR M.D.
NPI 1851738702
Psychiatry & Neurology - Neurology in Philadelphia, PA

Q: What is Jesse Victor's NPI number?

The NPI number for Jesse Victor is 1851738702. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Q: What is Jesse Victor's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Victor was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 03, 2013PECOS EnrolledAccepts Medicare Assignment

3998 RED LION RD STE 213, PHILADELPHIA, PA 19114(215) 612-5699 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jesse Ryan Victor M.d. NPPES

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

JESSE RYAN VICTOR M.D. (NPI 1851738702) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD462116) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of University Of Vermont College Of Medicine (2013).

NPPES Registry Identity

NPI1851738702

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameJESSE RYAN VICTORCredential: M.D.

Location Address3998 RED LION RD STE 213Philadelphia, PA 19114-1440

Mailing Address1600 Sw Archer Rd, Room 4102Gainesville, FL 32610-3003 · (352) 265-0239 · Fax (352) 265-1107

Phone(215) 612-5699

Sole ProprietorYes

Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2013

Enumeration DateJune 3, 2013

Last NPPES UpdateOctober 12, 2020

NPPES CertifiedOctober 12, 2020

✔ NPI 1851738702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in PA · MD462116

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedInternal MedicineTaxonomy 207R00000X · License TRN19079 (FL)

3998 RED LION RD STE 213, Philadelphia, PA 19114

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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

Jesse Ryan Victor 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 ID4981824992

PECOS Enrollment IDI20201014000171

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.

Areas of Expertise CMS Part B claims 2

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.

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.

122 services116 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.

32 services32 patients

Hospital Affiliations CMS Care Compare

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390115

Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19114 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.

Other Providers at the Same Location NPPES 3

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

DR. CHRISTOPHER ROBERT JOHNSTON DO

Internal Medicine (Critical Care Medicine)

3998 RED LION RD STE 213
PHILADELPHIA, PA 19114

Philadelphia County (215) 938-7730

ASHLEY ABRAHAM

Physician Assistant (Surgical)

3998 RED LION RD STE 213
PHILADELPHIA, PA 19114

Philadelphia County (215) 612-5699

MS. LAURA ELIZABETH AYD PA-C

Physician Assistant (Surgical)

3998 RED LION RD STE 213
PHILADELPHIA, PA 19114

Philadelphia County (215) 680-2833

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 Jesse Victor's NPI number?

The NPI number for Jesse Victor is 1851738702. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Jesse Victor located?

Jesse Victor practices at 3998 Red Lion Rd Ste 213, Philadelphia, PA 19114. The listed phone number is (215) 612-5699.

What is Jesse Victor's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jesse Victor enrolled in Medicare?

Yes. Jesse Victor 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.

Is Jesse Victor affiliated with any hospitals?

According to CMS data, Jesse Victor is affiliated with Jefferson Health- Northeast.

When was this NPI record last updated?

The NPPES record for Jesse Victor was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.