Glenn E. Jefferson Jr., MD
NPI 1326121286ActiveIndividual· Family Medicine· Lewiston, ID
Family Medicine (MD) in Lewiston, Idaho, licensed in ID and WA, with an NPI issued in October 2006. Enrolled in Medicare as order and referring only - family practice.
Overview
| NPI | 1326121286 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 23, 2006 |
| Last updated in NPPES | Jun 2, 2026 |
| Certified by provider | Jun 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | M4593 | ID |
| Family Medicine | 207Q00000X | MD00025241 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Family Practice (ID) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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