JEFFERSON QUALLS MD
NPI 1992882419
Emergency Medicine in North Vernon, IN
About Jefferson Qualls Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON QUALLS MD (NPI 1992882419) is an individual emergency medicine provider in North Vernon, Indiana, licensed in Indiana (01037759A) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jefferson Qualls Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jefferson Qualls reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seymour, IN 47274
- Reassigned Medicare billing, Indiana enrollment
- 598 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH VERNON, IN 47265
NORTH VERNON, IN 47265
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 Jefferson Qualls's NPI number?
The NPI number for Jefferson Qualls is 1992882419. It was assigned to this individual provider in the NPPES registry on November 1, 2006.
Where is Jefferson Qualls located?
Jefferson Qualls practices at 301 Henry St, North Vernon, IN 47265. The listed phone number is (317) 695-1241.
What is Jefferson Qualls's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jefferson Qualls enrolled in Medicare?
Yes. Jefferson Qualls is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jefferson Qualls's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jefferson Qualls reassigns Medicare benefits to Cep America LLC (Seymour, IN). The 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 Jefferson Qualls'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 Jefferson Qualls was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jefferson Qualls, MD · NPI 1992882419
Emergency Medicine physician in North Vernon, Indiana. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1992882419 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 01037759A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 HENRY ST, North Vernon, IN 47265-1030
- **Phone:** (317) 695-1241
## 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:** Cep America LLC (NPI 1205692712, Seymour, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2022
- **Other identifiers:** Medicaid 100194060 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1992882419) · Data from the CMS NPPES public registry.