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Dr. David Louis Jetmore

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NPI Number Detailed Information

Provider Information:

Name: Dr. David Louis Jetmore
Gender: M
Provider License Number If Given: 01023140A

NPI Information:

NPI: 1215939467
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/1/2005

Last Update Date: 5/14/2021

Provider Business Mailing Address:

Address: 1100 REID PKWY MEDICAL STAFF SERVICES
Richmond, IN 47374
Phone Number: 7659833127
Fax Number: 7659833219

Provider Business Practice Location Address:

Address: 1434 CHESTER BLVD.
Richmond, IN 47374
Phone Number: 7659661600
Fax Number: 7659629641

Provider Taxonomy:

Primary: 174400000X
Secondary (if any): 207Y00000X
State: IN

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About Dr. David Louis Jetmore

Dr. David Louis Jetmore (DR. DAVID LOUIS JETMORE ) is An Specialist Physician in Richmond, IN. The NPI Number for Dr. David Louis Jetmore is 1215939467.
The current location address for Dr. David Louis Jetmore is 1434 CHESTER BLVD. Richmond, IN 47374 and the contact number is 7659833127 and fax number is 7659833219. The mailing address for Dr. David Louis Jetmore is 1100 REID PKWY MEDICAL STAFF SERVICES Richmond, IN 47374- 7659661600 (mailing address contact number - 7659833127).
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. David Louis Jetmore ?


Answer: The NPI Number for Dr. David Louis Jetmore is 1215939467

Where is Dr. David Louis Jetmore located?


Answer: Dr. David Louis Jetmore is located at 1434 CHESTER BLVD. Richmond, IN 47374.

What is the specialty for Dr. David Louis Jetmore ?


Answer: The Specialty of Dr. David Louis Jetmore is An Specialist Physician.

Are there any online reviews for Dr. David Louis Jetmore ?


Answer: Not yet!

Are there any other health care providers in Richmond, IN?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. David Louis Jetmore

Number of HCPCS 9
Number of Medicare Beneficiaries 23
Number of Services 120
Total Submitted Charge Amount 12599.62
Total Medicare Allowed Amount 8533.1
Total Medicare Payment Amount 6524.44
Total Medicare Standardized Payment Amount 6771.42
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 9
Number of Medicare Beneficiaries With Medical 23
Number of Medical Services 120
Total Medical Submitted Charge Amount 12599.62
Total Medical Medicare Allowed Amount 8533.1
Total Medical Medicare Payment Amount 6524.44
Total Medical Medicare Standardized Payment Amount 6771.42
Average Age of Beneficiaries 55
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension 0.65
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis 0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.2341

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Otolaryngology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 510
Number of Standardized 30-Day Fills 516
Aggregate Cost Paid for All Claims 48687.38
Number of Day's Supply for All Claims 3843
Number of Medicare Beneficiaries 23
Number of Claims, Including Refills, for Beneficiaries Age 65+ 149
Including Refills, for Beneficiaries Age 65+ 155
Beneficiaries Age 65+ 6739.52
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1280
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 21
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 489
Aggregate Cost Paid for Generic Drugs 18187.11
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 202
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 37572.76
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 308
Aggregate Cost Paid for Claims Filled by 11114.62
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 456
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 47227.7
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 54
by Low-Income Subsidy 1459.68
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 58.217391304
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White 22
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement
Average Hierarchical Condition Category 1.169173913

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Dr. David Louis Jetmore in Other Directories

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