JEFFREY BLAIR BEAUDOIN M.D. NPI 1508821000

NPI Information

  • NPI: 1508821000
  • Provider Name: JEFFREY BLAIR BEAUDOIN, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 521 MONROE ST
    PETOSKEY, MI
    ZIP 49770
  • Phone: (231) 487-1900

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NPI Details

Jeffrey Blair Beaudoin, M.D. is a surgery in Petoskey, MI with 38 years of experience. The provider is 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. Jeffrey Blair Beaudoin, M.D. NPI is 1508821000. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1988

The provider's business location address is:

521 MONROE ST
PETOSKEY, MI
ZIP 49770-266
Phone: (231) 487-1900
Fax: (231) 348-0984

The NPI 1508821000 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes (HCPCS:99153)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Insertion of needle or tube into artery of arm or leg (HCPCS:36140)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (HCPCS:37252)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Ultrasound of one side of head and neck blood flow (HCPCS:93882)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Insertion of needle or tube into artery of arm or leg (HCPCS:36140)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch (HCPCS:36246)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93979)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch (HCPCS:36246)
  • Review by radiologist of additional artery image (HCPCS:75774)
  • Removal of blood clot and portion of chest, neck, or brain artery (HCPCS:35301)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch (HCPCS:36247)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Ultrasound of arm arteries or artery grafts (HCPCS:93930)
  • Removal of plaque in arteries of leg (HCPCS:37225)
  • Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel (HCPCS:37253)
  • Review by radiologist of additional artery image (HCPCS:75774)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch (HCPCS:36247)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 4/18/2006 and was last updated on 11/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery4301057924MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1020043565OTHERMICHIGANRAILROAD MEDICARE
20B41012OTHERMICHIGANBCN
3020B41012OTHERMICHIGANBCBS MI
4G31323MEDICARE UPINMICHIGAN
54084724MEDICAIDMICHIGAN
60M75210003MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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