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JEFFREY HOM MD
NPI 1902898240
Emergency Medicine - Pediatric Emergency Medicine in Stony Brook, NY

Active since August 22, 2005PECOS Enrolled
101 NICHOLLS ROAD, STONY BROOK UNIVERSITY MEDICAL CENTER, STONY BROOK, NY 11790(631) 444-0650 Get Directions Write a Review

NPPES record last updated: May 26, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeffrey Hom Md NPPES

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

JEFFREY HOM MD (NPI 1902898240) is an individual pediatric emergency medicine provider in Stony Brook, New York, licensed in New York (210776) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902898240
Entity TypeIndividualMale
Primary Taxonomy207PP0204X
Provider Legal NameJEFFREY HOMCredential: MD
Location Address101 NICHOLLS ROAD, STONY BROOK UNIVERSITY MEDICAL CENTERStony Brook, NY 11790-0001
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-0650
Phone(631) 444-0650
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateMay 26, 2015
✔ NPI 1902898240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in NY · 210776
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 210776 (NY)
101 NICHOLLS ROAD, Stony Brook, NY 11790
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Hom 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jeffrey Hom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stony Brook Children's Service, University Faculty Practice Corporatio
0.5 mi
Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1083660575 (631) 444-1362
Stony Brook Emergency Physicians, University Faculty Practice Corporat
0.5 mi
Emergency Medicine
SUNY @ STONY BROOK, UNIVERSITY HOSPITAL, L4, RM 515
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 77 clinicians in this Medicare group
NPI 1265487672 (631) 444-2406

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 11790 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Hom's NPI number?

The NPI number for Jeffrey Hom is 1902898240. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Jeffrey Hom located?

Jeffrey Hom practices at 101 Nicholls Road Stony Brook University Medical Center, Stony Brook, NY 11790. The listed phone number is (631) 444-0650.

What is Jeffrey Hom's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Jeffrey Hom enrolled in Medicare?

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

Which organizations bill Medicare for Jeffrey Hom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Hom reassigns Medicare benefits to 2 organizations: Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, NY) and Stony Brook Emergency Physicians, University Faculty Practice Corporat (Stony Brook, NY). 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 Hom'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 Jeffrey Hom was last updated on May 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.