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Active NPI 1093776080 Individual Practitioner Male Practitioner

Dr. Jerome O List , DDS, MD

Otolaryngology • Eagle River, AK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jerome List, DDS, MD is a certified Otolaryngology practicing in Eagle River, AK. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. List delivers high-quality medical care to the local community at 12641 OLD GLENN HWY STE 201.

Dr. List is affiliated with United Health Services Hospitals, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of impacted ear wax, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12641 Old Glenn Hwy Ste 201

Eagle River, AK 995777040

Telephone 9075611421
Fax 9075610327

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Eagle River, AK

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
42 Yrs Matches City Avg
City Avg: 42.0 Yrs
State Avg: 28.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Eagle River, AK (27 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. List (42 Years) 42 Yrs
Eagle River Specialty Average (42.0 Years) 42.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
69210 Removal of impacted ear wax
54 43 $519.85 $56.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
47 47 $379.11 $132.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
40 32 $169.00 $67.67
99213 Established patient office or other outpatient visit, typically 15 minutes
33 32 $258.00 $112.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $153.50 $77.45
31575 Diagnostic exam of voice box using a flexible endoscope
16 16 $723.42 $139.05

Medical Specialties & State Licenses

CMS Verified: 2024-03-11
Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License AK 2607

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Otolaryngology

NUCC Taxonomy Code: 207Y00000X

State License NY 329599

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
MD1123 (AK)

Hospital & Practice Group Affiliations

United Health Services Hospitals, Inc.

30 Harrison St, Johnson City, NY 137902162

Phone: 6077701018

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Valarie Coscia , ARNP

Nurse Practitioner - Family

NPI 1164494415

Advanced Registered Nurse Practitioner

NPI 1558528745

Doctor of Medicine (M.D.)

Brenna Gibson , APRN, FNP-C

Nurse Practitioner - Family

NPI 1588194005

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Jack Sedwick , MD

Otolaryngology - Facial Plastic Surgery

NPI 1942272059

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address April 30, 2024

Registered at 3831 PIPER ST STE S433, ANCHORAGE, AK 995086900 (Tel: 9075611421)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2024

Otolaryngology (License #329599 in NY)

📍
Updated Practice Location January 15, 2024

Registered at 12641 OLD GLENN HWY STE 201, EAGLE RIVER, AK 995777040 (Tel: 9075611421)

📍
Updated Business Mailing Address January 15, 2024

Registered at 3841 PIPER ST STE S433, ANCHORAGE, AK 995084624 (Tel: 9075611421)

📍
Updated Business Mailing Address October 05, 2018

Registered at 3841 PIPER ST STE T311, ANCHORAGE, AK 995084674 (Tel: 9075633096)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3841 PIPER STREET, SUITE T4-348, ANCHORAGE, AK 995084616 (Tel: 9072613096)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3841 PIPER STREET, SUITE T4-348, ANCHORAGE, AK 995084616 (Tel: 9072613096)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JEROME LIST, D.D.S., M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Otolaryngology (License #2607 in AK)

🟢
Initial NPI Registration & Enumeration March 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093776080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2006
Last Update: April 30, 2024
Sole Proprietor: No

Mailing Address

3831 Piper St Ste S433

Anchorage, AK 995086900

Phone: 9075611421

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.