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Lydia Nicole Jefson , PA-C

Physician Assistant β€’ Kettering, OH

Active NPI 1518798099 Individual Practitioner Female Practitioner
Practice location in NPPES

3535 Southern Blvd
Kettering, OH 454291221

Call 9373958166 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3535 Southern Blvd

Kettering, OH 454291221

Telephone 9373958166
Organization at the Same NPPES Address or Phone
Kettering Physiatrists, Inc. Facility NPI 1902893035

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 11 distinct additional practice-address records in Beavercreek, OH; Centerville, OH; Dayton, OH and 8 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Lydia Jefson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Lydia Jefson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Kettering and Ohio

115 active clinicians are listed under Physician Assistant with a practice address in Kettering, OH (5,329 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kettering

7.8% of these 115 clinicians have the CMS telehealth indicator.

61.7% of these 115 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OH 50.008906RX

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20241018001027

Enrollment State Jurisdiction

OH

PECOS Control ID

1557893286

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

600 W Main St

Troy, OH 453733384

Phone: 9379807010

450 Washington Jackson Rd

Eaton, OH 453208699

Phone: 9374568376

100 Kettering Way

Franklin, OH 450051155

Phone: 9374584700

3535 Pentagon Blvd

Beavercreek, OH 454311705

Phone: 9377024500

1141 N Monroe Dr

Xenia, OH 453851619

Phone: 9373522500

8701 Old Troy Pike

Huber Heights, OH 454241066

Phone: 9375583338

2300 N Limestone St

Springfield, OH 455031102

Phone: 9375048305

405 W Grand Ave

Dayton, OH 454057538

Phone: 9377233211

1997 Miamisburg Centerville Rd

Centerville, OH 454593811

Phone: 9374016228

4000 Miamisburg Centerville Rd

Miamisburg, OH 453427615

Phone: 9373848791

6147 State Route 122

Middletown, OH 450055201

Phone: 5132613410

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Madeline Alexander

Physician Assistant

NPI 1124626718
Eva Allison , NP

Nurse Practitioner

NPI 1437135878

Nurse Practitioner

Bridgette Antolin , PA-C

Physician Assistant

NPI 1952184996

Physician Assistant (Certified)

Dr. Usman Asad , MD

Emergency Medicine

NPI 1467422337

Doctor of Medicine (M.D.)

Mackenzie Baker , PA

Physician Assistant

NPI 1104204221

Physician Assistant

Dr. Joel Barnett , MD

Internal Medicine - Critical Care Medicine

NPI 1972581429

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 03, 2024

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373958166)

πŸ“
Updated Business Mailing Address September 03, 2024

Registered at 3131 NEWMARK DR STE 220, MIAMISBURG, OH 453425400 (Tel: 9374388910)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2024

Physician Assistant (license number reported to NPPES: OH 50.008906RX)

βœ…
NPI Profile Active August 08, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 08, 2024

Registered at 3131 NEWMARK DR STE 220, MIAMISBURG, OH 453425400 (Tel: 9374388910)

πŸ“
Business Mailing Address (Initial Record) August 08, 2024

Registered at 1237 STEINBECK WAY APT C, FAIRBORN, OH 453248728 (Tel: 7654149336)

πŸ‘€
Provider Name / Credentials (Initial Record) August 08, 2024

Recorded as LYDIA JEFSON, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2024

Physician Assistant

🟒
Initial NPI Registration & Enumeration August 08, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1518798099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2024
Last Update: September 03, 2024
Sole Proprietor: No

Other Physician Assistants in Kettering

All Physician Assistants in Kettering

Mailing Address

3131 Newmark Dr Ste 220

Miamisburg, OH 453425400

Phone: 9374388910

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.