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Dr. Jacob Petersen Chaffee

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NPI Number Detailed Information

Provider Information:

Name: Dr. Jacob Petersen Chaffee
Gender: M
Provider License Number If Given: MD00042597

NPI Information:

NPI: 1811983562
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/27/2005

Last Update Date: 3/14/2018

Reputation Report:

Provider Business Mailing Address:

Address: 411 FORTUYN RD
Grand Coulee, WA 99133
Phone Number: 5096331753
Fax Number: 5096331933

Provider Business Practice Location Address:

Address: 411 FORTUYN RD
Grand Coulee, WA 99133
Phone Number: 5096331753
Fax Number: 5096331933

Provider Taxonomy:

Primary: 207VX0000X
Secondary (if any): 207Q00000X
State: WA

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About Dr. Jacob Petersen Chaffee

Dr. Jacob Petersen Chaffee (DR. JACOB PETERSEN CHAFFEE ) is Definition Obstetrics & Gynecology Physician in Grand Coulee, WA. The NPI Number for Dr. Jacob Petersen Chaffee is 1811983562.
The current location address for Dr. Jacob Petersen Chaffee is 411 FORTUYN RD Grand Coulee, WA 99133 and the contact number is 5096331753 and fax number is 5096331933. The mailing address for Dr. Jacob Petersen Chaffee is 411 FORTUYN RD Grand Coulee, WA 99133- 5096331753 (mailing address contact number - 5096331753).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Jacob Petersen Chaffee ?


Answer: The NPI Number for Dr. Jacob Petersen Chaffee is 1811983562

Where is Dr. Jacob Petersen Chaffee located?


Answer: Dr. Jacob Petersen Chaffee is located at 411 FORTUYN RD Grand Coulee, WA 99133.

What is the specialty for Dr. Jacob Petersen Chaffee ?


Answer: The Specialty of Dr. Jacob Petersen Chaffee is Definition Obstetrics & Gynecology Physician.

Are there any online reviews for Dr. Jacob Petersen Chaffee ?


Answer: Yes! Check It Now.

Are there any other health care providers in Grand Coulee, WA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Jacob Petersen Chaffee

Number of HCPCS 12
Number of Medicare Beneficiaries 23
Number of Services 40
Total Submitted Charge Amount 12990
Total Medicare Allowed Amount 3944.44
Total Medicare Payment Amount 3300.93
Total Medicare Standardized Payment Amount 3363.44
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 12
Number of Medicare Beneficiaries With Medical 23
Number of Medical Services 40
Total Medical Submitted Charge Amount 12990
Total Medical Medicare Allowed Amount 3944.44
Total Medical Medicare Payment Amount 3300.93
Total Medical Medicare Standardized Payment Amount 3363.44
Average Age of Beneficiaries 76
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 12
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.48
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.48
Percent (%) of Beneficiaries Identified With Hypertension 0.61
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.4113

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 26
Number of Standardized 30-Day Fills 26
Aggregate Cost Paid for All Claims 147.07
Number of Day's Supply for All Claims 157
Number of Medicare Beneficiaries 20
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 24
Aggregate Cost Paid for Generic Drugs 125.28
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst *
Number of Claims for Beneficiaries Covered by MAPD Plans
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst #
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst *
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst #
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 72.15
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White 16
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 0
Only Entitlement
Average Hierarchical Condition Category 1.4773208333

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