DR. JEFFREY THOMAS PACHECO MD NPI 1902804917

NPI Information

  • NPI: 1902804917
  • Provider Name: DR. JEFFREY THOMAS PACHECO, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 802 LANDMARK DR
    STE 119
    GLEN BURNIE, MD
    ZIP 21061
  • Phone: (410) 760-8840

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NPI Details

DR. Jeffrey Thomas Pacheco, MD is a specialist in Glen Burnie, MD with 27 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Jeffrey Thomas Pacheco, MD NPI is 1902804917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

802 LANDMARK DR
STE 119
GLEN BURNIE, MD
ZIP 21061
Phone: (410) 760-8840
Fax: (410) 760-7864

The NPI 1902804917 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)

The enumeration date for this NPI number is 7/13/2005 and was last updated on 7/30/2024.

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
1174400000XSpecialistD00061090MARYLANDYes

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
1001232700MEDICAIDMARYLAND

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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