DR. JEFFREY T FEATHERGILL PSY.D.
NPI 1982632329
Psychologist - Clinical in South Bend, IN

Active since June 28, 2006Opted out of Medicare · through Jan 1, 2028
211 W WASHINGTON ST STE 2311, SOUTH BEND, IN 46601(574) 282-1090(866) 540-3094 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffrey T Feathergill Psy.d. NPPES

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

DR. JEFFREY T FEATHERGILL PSY.D. (NPI 1982632329) is an individual clinical provider in South Bend, Indiana, licensed in Indiana (20041616A) and active in the NPI registry since June 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982632329
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JEFFREY T FEATHERGILLCredential: PSY.D.
Location Address211 W WASHINGTON ST STE 2311South Bend, IN 46601-1708
Mailing Address211 W Washington St Ste 2311South Bend, IN 46601-1708 · (574) 282-1090 · Fax (866) 540-3094
Fax(866) 540-3094
Sole ProprietorYes
Enumeration DateJune 28, 2006
Last NPPES UpdateJanuary 23, 2012
NPI 1982632329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IN · 20041616A
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 20041616A (IN)
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 20041616A (IN)
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 20041616A (IN)
211 W WASHINGTON ST STE 2311, South Bend, IN 46601

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Jeffrey T Feathergill Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2012 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2012
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 Feathergill's NPI number?

The NPI number for Jeffrey Feathergill is 1982632329. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Jeffrey Feathergill located?

Jeffrey Feathergill practices at 211 W Washington St Ste 2311, South Bend, IN 46601. The listed phone number is (574) 282-1090.

What is Jeffrey Feathergill's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jeffrey Feathergill enrolled in Medicare?

No. Jeffrey Feathergill has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeffrey Feathergill was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.