JEFFREY O MCGILLICUDDY MD
NPI 1871698993
Orthopaedic Surgery in Manteca, CA
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
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeffrey O Mcgillicuddy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Jeffrey Mcgillicuddy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grass Valley, CA 95945
- Reassigned Medicare billing, California enrollment
- 11 clinicians in this Medicare group
Gridley, CA 95948
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
Chester, CA 96020
- Reassigned Medicare billing, California enrollment
- 38 clinicians in this Medicare group
Arcata, CA 95521
- Reassigned Medicare billing, California enrollment
- 43 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 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.
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.
MANTECA, CA 95336
MANTECA, CA 95336
MANTECA, CA 95336
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.
Which organizations bill Medicare for Jeffrey Mcgillicuddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Mcgillicuddy reassigns Medicare benefits to 4 organizations: Synergy Surgicalists PC (Grass Valley, CA), Orchard Hospital (Gridley, CA), Seneca Healthcare District (Chester, CA) and North Pacific Cardiology Medical (Arcata, CA). Each 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 Jeffrey Mcgillicuddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Mcgillicuddy accept?
Health plans from PacificSource Health Plans list Jeffrey Mcgillicuddy 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.
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.
# Jeffrey O Mcgillicuddy, MD · NPI 1871698993
Orthopaedic Surgery physician in Manteca, California. Individual provider, active in the CMS NPPES registry since September 13, 2006.
## Identity
- **NPI:** 1871698993 (Entity type: Individual)
- **Enumerated:** September 13, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** G84589 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1234 E NORTH ST, SUITE 103, Manteca, CA 95336-4960
- **Phone:** (209) 647-3101 · **Fax:** (209) 529-8378
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Synergy Surgicalists PC (NPI 1932623782, Grass Valley, CA); Orchard Hospital (NPI 1477522019, Gridley, CA); Seneca Healthcare District (NPI 1326234022, Chester, CA); North Pacific Cardiology Medical (NPI 1093821837, Arcata, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2021
- **Other identifiers:** Medicaid 500665638 (OR); Medicaid 00G845890 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1871698993) · Data from the CMS NPPES public registry.