Jeffrey Kenneth Blue , PA
Physician Assistant • Licking, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jeffrey Blue has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jeffrey Blue, PA was a registered Physician Assistant practicing in Licking, MO. Throughout an active medical career spanning 15 years, Jeffrey Blue provided care at the practice location at 233 S MAIN STREET until profile deactivation on 2020-08-05.
Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
233 S Main Street
Licking, MO 655420047
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Licking, MO
Practicing in Licking, MO (1802 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
71 | 59 | $94.00 | $41.77 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
13 | 13 | $127.00 | $64.31 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Physician Assistant (Certified)
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner
Family Medicine
Doctor of Osteopathic Medicine (D.O.), Master of Public Health
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 05, 2020
NPI status registered as active in NPPES database
Registered at 233 S MAIN STREET, LICKING, MO 655420047 (Tel: 5736743011)
Registered at PO BOX 47, LICKING, MO 655420047 (Tel: 5736743011)
Recorded as JEFFREY BLUE, P. A.
Physician Assistant (License #2002025629 in MO)
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
Mailing Address
Po Box 47
Licking, MO 655420047
Phone: 5736743011
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