JEFFERSON MASON TRUPP MD
NPI 1871552638
Radiology - Radiation Oncology in Tuscaloosa, AL

Q: What is Jefferson Trupp's NPI number?

The NPI number for Jefferson Trupp is 1871552638. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Q: What is Jefferson Trupp's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Jefferson Trupp was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 March 21, 2006PECOS EnrolledAccepts Medicare Assignment

1410 MCFARLAND BLVD N, TUSCALOOSA, AL 35406(205) 345-8208 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2026, Dec 2, 2024, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

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About Jefferson Mason Trupp Md NPPES

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

JEFFERSON MASON TRUPP MD (NPI 1871552638) is an individual radiation oncology provider in Tuscaloosa, Alabama, licensed in Illinois (036171122) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Illinois, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871552638

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameJEFFERSON MASON TRUPPCredential: MD

Location Address1410 MCFARLAND BLVD NTuscaloosa, AL 35406-2459

Mailing Address8203 N Lagoon DrPanama City, FL 32408-5267 · (850) 896-0773 · Fax (850) 234-9272

Phone(205) 345-8208

Sole ProprietorYes

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1980

Enumeration DateMarch 21, 2006

Last NPPES UpdateJune 1, 20265 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1871552638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

Licenses✔ Licensed in IL · 036171122✔ Licensed in FL · ME40682✔ Licensed in AL · MD.11479

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

1410 MCFARLAND BLVD N, Tuscaloosa, AL 35406

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Secondary Practice Locations 2

Location 12900 S Highway 77Lynn Haven, FL 32444-5612 · Phone (850) 481-1687 · Fax (850) 640-0761

Location 2100 Doctors DrPanama City, FL 32405-7608 · Phone (850) 896-0773 · Fax (850) 234-9272

Other Identifiers 2

Medicaid266076800FL

Medicaid000014577AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.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

Jefferson Mason Trupp Md 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 ID3375577083

PECOS Enrollment IDI20101209001175, I20241007002103, I20260228000772

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 Reassignments

Medicare enrollment records show Jefferson Trupp reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeast Physician Network, P.C.

Same address

Hematology & Oncology

1410 MCFARLAND BLVD N
Tuscaloosa, AL 35406

Reassigned Medicare billing, Alabama enrollment
55 clinicians in this Medicare group

NPI 1598090839 (205) 345-8208

Carle Health Medical Group

476 mi

Internal Medicine

611 W PARK ST
Urbana, IL 61801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Carle Health Care Incorporated
2,516 clinicians in this Medicare group

NPI 1154653947 (217) 383-8300

Methodist Medical Center Of Illinois

527 mi

Family Medicine

120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603

Reassigned Medicare billing, Illinois enrollment
693 clinicians in this Medicare group

NPI 1184670663 (309) 671-8230

Osf Multi-Specialty Group

535 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1922445527 (309) 683-5050

Susquehanna Physician Services

802 mi

Hematology & Oncology

1100 GRAMPIAN BLVD
Williamsport, PA 17701

Reassigned Medicare billing, Pennsylvania enrollment
31 clinicians in this Medicare group

NPI 1700962701 (570) 326-8470

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 10

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.

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

47 services15 patients

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

43 services18 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

35 services18 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

28 services11 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.

24 services15 patients

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.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140209

Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County

Emergency services Birthing friendly

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390045

Location700 High StreetWilliamsport, PA 17701 · Lycoming County

Emergency services Birthing friendly

Upmc Wellsboro

Critical Access Hospitals · Wellsboro, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391316

Location32-36 Central AvenueWellsboro, PA 16901 · Tioga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35406 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

$161.63 typical visit price

range $52.65 – $161.63

Typical copayment $40.40 (range $13.16 – $40.40)

Most-billed visit code 99205

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

Most-billed visit code 99213

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 14

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

EDGAR FRIEDRICH PRASTHOFER MD

Internal Medicine (Medical Oncology)