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JEFFREY O MCGILLICUDDY MD
NPI 1871698993
Orthopaedic Surgery in Manteca, CA

Active since September 13, 2006PECOS Enrolled
1234 E NORTH ST, SUITE 103, MANTECA, CA 95336(209) 647-3101(209) 529-8378 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2021, Apr 17, 2018, Nov 7, 2016 (3 updates tracked since 2016).

About Jeffrey O Mcgillicuddy Md NPPES

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

JEFFREY O MCGILLICUDDY MD (NPI 1871698993) is an individual orthopaedic surgery provider in Manteca, California, licensed in California (G84589) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871698993
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJEFFREY O MCGILLICUDDYCredential: MD
Location Address1234 E NORTH ST, SUITE 103Manteca, CA 95336-4960
Mailing Address199 Reynolds RoadChester, CA 96020 · (530) 258-2826 · Fax (530) 258-2802
Phone(209) 647-3101
Fax(209) 529-8378
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateFebruary 11, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2021
✔ NPI 1871698993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · G84589
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1234 E NORTH ST, Manteca, CA 95336
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Other Identifiers 2

Medicaid500665638OR
Medicaid00G845890CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey O Mcgillicuddy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95336 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 13

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

JACK ANDREW HARVEY D.P.M
Podiatrist (Foot & Ankle Surgery)
1234 E NORTH ST, STE 106
MANTECA, CA 95336
San Joaquin County (209) 823-2700
ABBAS KASHANI MD INC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1234 E NORTH ST, 202
MANTECA, CA 95336
San Joaquin County (209) 239-5665
EUGENE V. NGUYEN, M.D., INC
Family Medicine
1234 E NORTH ST, STE 106
MANTECA, CA 95336
San Joaquin County (209) 824-7600
RENEE JEANNE LEE R.N., N.P.
Nurse Practitioner (Family)
1234 E NORTH ST, SUITE 102
MANTECA, CA 95336
San Joaquin County (209) 824-2202
RONALD R. YAMADA, M.D., INC
Orthopaedic Surgery
1234 E NORTH ST, SUITE 103
MANTECA, CA 95336
San Joaquin County (209) 824-8111
EUGENE V NGUYEN M.D.
Family Medicine
1234 E NORTH ST, STE 106
MANTECA, CA 95336
San Joaquin County (209) 824-7600
YONG L SHIH D.O
Surgery
1234 E NORTH ST, SUITE 105
MANTECA, CA 95336
San Joaquin County (209) 239-8086
DR. TONJA LYNETTE HARRIS-STANSIL M.D.
Obstetrics & Gynecology
1234 E NORTH ST, STE. 102
MANTECA, CA 95336
San Joaquin County (209) 824-2202

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 Mcgillicuddy's NPI number?

The NPI number for Jeffrey Mcgillicuddy is 1871698993. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Jeffrey Mcgillicuddy located?

Jeffrey Mcgillicuddy practices at 1234 E North St Suite 103, Manteca, CA 95336. The listed phone number is (209) 647-3101.

What is Jeffrey Mcgillicuddy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jeffrey Mcgillicuddy enrolled in Medicare?

Yes. Jeffrey Mcgillicuddy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Mcgillicuddy was last updated on February 11, 2021. 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.