Deactivated NPI 1841270220 Deactivated / Inactive NPI Male Practitioner

Dr. Jerome J Dejulia , MD

Internal Medicine • Tyrone, PA

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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. Jerome Dejulia has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 20, 2006

NPI Deactivation Date May 29, 2025

Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jerome Dejulia, MD was a registered Internal Medicine practicing in Tyrone, PA. Throughout an active medical career spanning 19 years, Dr. Dejulia provided care at the practice location at 225 HOSPITAL DR until profile deactivation on 2025-05-29.

Historical Medicare Part B clinical services included established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, annual depression screening, 5 to. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

225 Hospital Dr

Tyrone, PA 166861802

Telephone 8146843101

Fax 8146845539

Associated Practice Facility / Clinic

🏢 Tyrone Hospital Facility NPI 1558545376

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tyrone, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Tyrone, PA (7609 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.0% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	112	73	$164.00	$90.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	54	$201.00	$127.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	61	23	$98.00	$99.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	23	$146.00	$71.12
G0444 Annual depression screening, 5 to 15 minutes	54	54	$25.00	$18.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	54	54	$221.67	$131.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	44	$401.36	$196.01
99239 Hospital discharge day management, more than 30 minutes	46	40	$109.33	$104.98
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	33	12	$50.00	$40.28
99316 Nursing facility discharge management, more than 30 minutes	16	16	$168.00	$103.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	13	$80.00	$52.00
99306 Initial nursing facility visit, typically 45 minutes per day	13	12	$333.00	$164.38

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	105	66	$201.00	$107.53
99213 Established patient office or other outpatient visit, typically 15 minutes	104	68	$164.00	$73.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	20	$146.00	$73.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$207.65	$114.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$412.00	$204.47
99239 Hospital discharge day management, more than 30 minutes	25	25	$107.00	$107.76
G0444 Annual depression screening, 5 to 15 minutes	24	24	$25.00	$17.90
G0008 Administration of influenza virus vaccine	16	16	$25.00	$16.28
99495 Transitional care management services for problem of at least moderate complexity	14	14	$220.00	$183.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$80.00	$52.82
90662 Influenza vaccine split virus, preservative free	11	11	$66.36	$60.98

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	196	87	$201.00	$106.28
99213 Established patient office or other outpatient visit, typically 15 minutes	108	59	$164.00	$72.49
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	71	26	$70.00	$69.48
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	67	32	$100.00	$81.66
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	59	59	$200.00	$167.79
99497 Advance care planning, first 30 minutes	55	55	$100.00	$84.04
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	54	31	$50.00	$40.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$200.00	$113.34
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	51	12	$40.00	$39.70
G0444 Annual depression screening, 5 to 15 minutes	30	30	$25.00	$17.48
G0009 Administration of pneumococcal vaccine	27	27	$35.00	$15.95
G0008 Administration of influenza virus vaccine	23	23	$25.00	$15.95
90670 Pneumococcal vaccine for injection into muscle	22	22	$260.00	$207.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$412.00	$200.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	17	$54.00	$39.10
96127 Assessment of emotional or behavioral problems	18	18	$10.00	$5.06
90662 Influenza vaccine split virus, preservative free	16	16	$65.00	$54.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	12	$146.00	$72.14
99239 Hospital discharge day management, more than 30 minutes	11	11	$107.00	$105.85

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	173	65	$201.00	$104.81
99213 Established patient office or other outpatient visit, typically 15 minutes	86	45	$164.00	$70.97
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	46	46	$200.00	$166.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$412.00	$200.07
36415 Insertion of needle into vein for collection of blood sample	25	20	$23.00	$2.94
G0008 Administration of influenza virus vaccine	25	25	$25.00	$19.57
99497 Advance care planning, first 30 minutes	20	20	$100.00	$82.68
90662 Influenza vaccine split virus, preservative free	17	17	$62.65	$52.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$200.00	$113.03
99239 Hospital discharge day management, more than 30 minutes	15	13	$107.00	$105.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	12	$146.00	$71.79

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	208	89	$201.00	$103.49
99213 Established patient office or other outpatient visit, typically 15 minutes	141	64	$164.00	$70.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	40	$123.65	$70.75
36415 Insertion of needle into vein for collection of blood sample	44	31	$23.00	$2.94
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	32	$85.03	$51.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$391.43	$198.77
99239 Hospital discharge day management, more than 30 minutes	21	19	$105.67	$103.73
G0008 Administration of influenza virus vaccine	14	14	$25.00	$24.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	12	$110.23	$97.79
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	13	12	$70.00	$39.79

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD050865L

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Joseph Basile , MD

Orthopaedic Surgery

NPI 1134109937

Doctor of Medicine (M.D.)

Dr. Michael Halter , DO

Family Medicine

NPI 1134199219

Doctor of Osteopathic Medicine (D.O.)

Dr. Anupamaa Srivastava-Sinha , MD

Pediatrics

NPI 1205288826

Doctor of Medicine (M.D.)

Dr. Fidelis Ejianreh , DO

Family Medicine

NPI 1699746990

Doctor of Osteopathic Medicine (D.O.)

Dr. Kishor Patel , MD

Pediatrics

NPI 1972573426

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

⚠️

NPI Profile Deactivated May 29, 2025

Record deactivated on May 29, 2025

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Updated Practice Location June 06, 2024

Registered at 358 SEMINARY ST, CASSVILLE, PA 166236203 (Tel: 8144489226)

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Updated Business Mailing Address June 06, 2024

Registered at 4133 MEDICAL CENTER DR, BROAD TOP, PA 166219001 (Tel: 8145068463)

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NPI Profile Active January 25, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 25, 2011

Registered at 225 HOSPITAL DR, TYRONE, PA 166861802 (Tel: 8146843101)

📍

Updated Business Mailing Address January 25, 2011

Registered at 225 HOSPITAL DR, TYRONE, PA 166861802 (Tel: 8146843101)

👤

Provider Name / Credentials Updated January 25, 2011

Recorded as JEROME DEJULIA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2011

Internal Medicine (License #MD050865L in PA)

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Initial NPI Registration & Enumeration January 20, 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: 1841270220

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 20, 2006

Last Update: January 25, 2011

Deactivation Date: May 29, 2025

Update or Correct Profile

Mailing Address

225 Hospital Dr

Tyrone, PA 166861802

Phone: 8146843101

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.