JEFFERSON F. LIVERMON JR. M.D.
NPI 1861462657
Family Medicine in Omak, WA
About Jefferson F. Livermon Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON F. LIVERMON JR. M.D. (NPI 1861462657) is an individual family medicine provider in Omak, Washington, licensed in Washington (MD60495645) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jefferson F. Livermon Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jefferson Livermon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Barrow, AK 99723
- Reassigned Medicare billing, Alaska enrollment
- 118 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98841 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jefferson Livermon's NPI number?
The NPI number for Jefferson Livermon is 1861462657. It was assigned to this individual provider in the NPPES registry on January 24, 2006.
Where is Jefferson Livermon located?
Jefferson Livermon practices at 916 Koala Dr, Omak, WA 98841. The listed phone number is (509) 663-8711.
What is Jefferson Livermon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jefferson Livermon enrolled in Medicare?
Yes. Jefferson Livermon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jefferson Livermon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jefferson Livermon reassigns Medicare benefits to Arctic Slope Native Association Ltd (Barrow, AK). 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 Jefferson Livermon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jefferson Livermon was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jefferson F. Livermon Jr., M.D. · NPI 1861462657
Family Medicine physician in Omak, Washington. Individual provider, active in the CMS NPPES registry since January 24, 2006.
## Identity
- **NPI:** 1861462657 (Entity type: Individual)
- **Enumerated:** January 24, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD60495645 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 916 KOALA DR, Omak, WA 98841-9759
- **Phone:** (509) 663-8711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Arctic Slope Native Association Ltd (NPI 1306933643, Barrow, AK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1861462657) · Data from the CMS NPPES public registry.