Peter Stevan Jerome

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NPI Number Detailed Information

Provider Information:

Name:	Peter Stevan Jerome
Gender:	M
Provider License Number If Given:	12731

NPI Information:

NPI:	1396740668
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/14/2005
Last Update Date:	1/11/2021
Reputation Report:

Provider Business Mailing Address:

Address:	1000 1ST DR NW Austin, MN 55912
Phone Number:	5074337351
Fax Number:

Provider Business Practice Location Address:

Address:	700 E MARSHALL AVE Longview, TX 75601
Phone Number:	9033151488
Fax Number:	9033151656

Provider Taxonomy:

Primary:	207RC0200X
Secondary (if any):	207RP1001X
State:	TX

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About Peter Stevan Jerome

Peter Stevan Jerome ( PETER STEVAN JEROME ) is An Internal Medicine Physician in Longview, TX. The NPI Number for Peter Stevan Jerome is 1396740668.

The current location address for Peter Stevan Jerome is 700 E MARSHALL AVE Longview, TX 75601 and the contact number is 5074337351 and fax number is . The mailing address for Peter Stevan Jerome is 1000 1ST DR NW Austin, MN 55912- 9033151488 (mailing address contact number - 5074337351).

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Provider Business Location on Map

FAQs:

What is the NPI Number for Peter Stevan Jerome ?

Answer: The NPI Number for Peter Stevan Jerome is 1396740668

Where is Peter Stevan Jerome located?

Answer: Peter Stevan Jerome is located at 700 E MARSHALL AVE Longview, TX 75601.

What is the specialty for Peter Stevan Jerome ?

Answer: The Specialty of Peter Stevan Jerome is An Internal Medicine Physician.

Are there any online reviews for Peter Stevan Jerome ?

Answer: Yes! Check It Now.

Are there any other health care providers in Longview, TX?

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 Peter Stevan Jerome

Number of HCPCS	11
Number of Medicare Beneficiaries	58
Number of Services	96
Total Submitted Charge Amount	26423.13
Total Medicare Allowed Amount	14122.44
Total Medicare Payment Amount	11747.3
Total Medicare Standardized Payment Amount	11483.23
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	11
Number of Medicare Beneficiaries With Medical	58
Number of Medical Services	96
Total Medical Submitted Charge Amount	26423.13
Total Medical Medicare Allowed Amount	14122.44
Total Medical Medicare Payment Amount	11747.3
Total Medical Medicare Standardized Payment Amount	11483.23
Average Age of Beneficiaries	71
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	25
Number of Beneficiaries Age 75 to 84	22
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	27
Number of Male Beneficiaries	31
Number of Non-Hispanic White Beneficiaries	40
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified	0
Number of Beneficiaries With Medicare & Medicaid Entitlement	12
Number of Beneficiaries With Medicare Only Entitlement	46
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.29
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer	0.21
Percent (%) of Beneficiaries Identified With Heart Failure	0.55
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.75
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.4
Percent (%) of Beneficiaries Identified With Depression	0.43
Percent (%) of Beneficiaries Identified With Diabetes	0.67
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.75
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.62
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.36
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	2.4157

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	Pulmonary Disease
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	14
Number of Standardized 30-Day Fills	39.6
Aggregate Cost Paid for All Claims	8136.4
Number of Day's Supply for All Claims	1160
Number of Medicare Beneficiaries
Number of Claims, Including Refills, for Beneficiaries Age 65+	14
Including Refills, for Beneficiaries Age 65+	39.6
Beneficiaries Age 65+	8136.4
Number of Day's Supply for All Claims for Beneficaries Age 65+	1160
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	*
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	11
Aggregate Cost Paid for Generic Drugs	41.59
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	#
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	0
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	0
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	14
Aggregate Cost Paid for Claims Filled by	8136.4
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	0
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	0
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	14
by Low-Income Subsidy	8136.4
Total Claims of Opioid Drugs, Including	0
Aggregate Cost Paid for Opioid Drugs	0
Opioid Claims
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
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	0
Aggregate Cost Paid for Antibiotic Drugs	0
Antibiotic Claims
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	69.5
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
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category	0.5165

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