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Deactivated NPI 1821175563 Deactivated / Inactive NPI Male Practitioner

Dr. Jay V Dewell , MD

Surgery • Potsdam, NY

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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, Dr. Jay Dewell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 01, 2006
NPI Deactivation Date December 04, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jay Dewell, MD was a registered Surgery practicing in Potsdam, NY. Throughout an active medical career spanning 19 years, Dr. Dewell provided care at the practice location at 25 COTTAGE ST STE A until profile deactivation on 2025-12-04.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

25 Cottage St Ste A

Potsdam, NY 136761979

Telephone 3152614472
Fax 3152614644

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Potsdam, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.6 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Potsdam, NY (2269 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
46 39 $294.00 $93.52
99213 Established patient office or other outpatient visit, typically 15 minutes
34 33 $222.00 $63.33
99213 Established patient office or other outpatient visit, typically 15 minutes
33 27 $207.73 $86.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
27 27 $273.13 $127.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
27 24 $96.16 $53.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 17 $286.06 $119.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $219.08 $107.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $222.00 $73.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $273.13 $157.09

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 196893

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 04, 2025

Record deactivated on December 04, 2025

NPI Profile Active October 08, 2014

NPI status registered as active in NPPES database

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Updated Practice Location October 08, 2014

Registered at 25 COTTAGE ST STE A, POTSDAM, NY 136761979 (Tel: 3152614472)

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Updated Business Mailing Address October 08, 2014

Registered at 25 COTTAGE ST, POTSDAM, NY 136761979 (Tel: 3152614472)

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Provider Name / Credentials Updated October 08, 2014

Recorded as JAY DEWELL, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2014

Surgery (License #196893 in NY)

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Initial NPI Registration & Enumeration November 01, 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: 1821175563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: October 08, 2014
Deactivation Date: December 04, 2025

Mailing Address

25 Cottage St

Potsdam, NY 136761979

Phone: 3152614472

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.