JEFFREY PAUL RENSTON MD
NPI 1457347890
Internal Medicine - Pulmonary Disease in South Euclid, OH


Quality Rating: 79.13 out of 100 score

NPI Status: Active since September 21, 2005

Contact Information

1611 S GREEN RD
SOUTH EUCLID, OH
ZIP 44121
Phone: (216) 297-3168
Fax: (216) 297-3169

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  • Individual
  • Male
  • Years of Experience 40
  • Internal Medicine
  • Pulmonary Disease
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JEFFREY RENSTON

This page provides the complete NPI Profile along with additional information for Jeffrey Renston, an internist established in South Euclid, Ohio with a medical specialization in Internal Medicine, focusing in pulmonary disease and more than 40 years of experience. He graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1986. The healthcare provider is registered in the NPI registry with number 1457347890 assigned on September 2005. The practitioner's primary taxonomy code is 207RP1001X with license number 35055582 (OH). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1457347890
Provider Name
JEFFREY PAUL RENSTON MD
Gender
Male
Entity Type
Individual
Location Address
1611 S GREEN RD SOUTH EUCLID, OH 44121
Location Phone
(216) 297-3168
Location Fax
(216) 297-3169
Mailing Address
211 LAKE COVE CT BRATENAHL, OH 44108
Mailing Phone
(216) 761-5931
Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year
1986
Is Sole Proprietor?
Yes
Enumeration Date
09-21-2005
Last Update Date
06-02-2008
Code Navigator

An internist like Jeffrey Renston is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
License No.
35055582
License State
OH
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RC0200XAllopathic & Osteopathic Physicians

Internal Medicine
Critical Care Medicine

35055582 (OH)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AultCare Bronze 7000 Select - PPO
  • AultCare Bronze 8550 Select No Pediatric Dental - PPO
  • AultCare Gold 1100 Select - PPO
  • AultCare Gold 1100 Select No Pediatric Dental - PPO
  • AultCare Silver 6550 Select No Pediatric Dental - PPO
  • AultCare Silver 7900 Premier Select No Pediatric Dental - PPO
  • AultCare Standard Bronze Select No Pediatric Dental - PPO
  • AultCare Standard Gold Select No Pediatric Dental - PPO
  • AultCare Standard Silver Premier Select No Pediatric Dental - PPO
  • AultCare Standard Silver Select No Pediatric Dental - PPO
  • AultCare Bronze 5500 - PPO
  • AultCare Bronze 7050 - PPO
  • AultCare Gold 1000 - PPO
  • AultCare Gold 1200 - PPO
  • AultCare Gold 1800 - PPO
  • AultCare Gold 2850 - PPO
  • AultCare Gold 3150 - PPO
  • AultCare Platinum 1200 - PPO
  • AultCare Platinum 1800 Health Savings 500 - PPO
  • AultCare Platinum 300 - PPO
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1250 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5000 w/ Virtual & Wellness ON-EX - HMO
  • Silver Standard w/ Virtual & Wellness - HMO
  • SilverSelect w/ Virtual & Wellness ON-EX - HMO
  • Young Adult Essentials ON-EX - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
RE0720204MEDICARE PIN (08)OH 
0882755MEDICAID (05)OH 
F35318MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Jeffrey Renston is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jeffrey Renston is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 446386312

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100330000809

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    1 DME suppliers used 55 Medicare Claims 55 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    1 DME suppliers used 19 Medicare Claims 19 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 162 times for 73 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 94 times for 84 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 88 times for 86 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.53 for a new patient copayment and $24.11 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 44121 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.12
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $31.53
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 79.13, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 79.13 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 70.25

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 98

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 61.85

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 61.85

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jeffrey Renston is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UH CLEVELAND MEDICAL CENTER11100 EUCLID AVENUE
CLEVELAND, OH 44106
(440) 844-1000Acute Care Hospitals
UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER3999 RICHMOND ROAD
BEACHWOOD, OH 44122
(216) 593-5511Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457347890
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241076414818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 6 + 4 + 1 + 4 + 8 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1457347890 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568464964DR. ROBERT T STROUP JR. MD
Individual
Plastic Surgery1611 S GREEN RD 238
SOUTH EUCLID, OH 44121
(216) 691-4000
1497748495 JONATHAN A EISENGART M.D.
Individual
Ophthalmology1611 S GREEN RD SUITE 306B
SOUTH EUCLID, OH 44121
(216) 291-3550
1699763714DR. DONALD C MANN MD
Individual
Psychiatry & Neurology (Neurology)1611 S GREEN RD SUITE 300
CLEVELAND, OH 44121
(216) 381-2673
1497744882 KATHLEEN A LAMPING MD
Individual
Ophthalmology1611 S GREEN RD SUITE 306A
SOUTH EUCLID, OH 44121
(216) 291-9770
1871572289DR. DAVID M. BURKONS M.D.
Individual
Obstetrics & Gynecology1611 S GREEN RD #204
SOUTH EUCLID, OH 44121
(216) 381-3880
1326019233UNIVERSITY SUBURBAN DENTAL GROUP, INC
Organization
Dentist (General Practice)1611 S GREEN RD SUITE 157
CLEVELAND, OH 44121
(216) 381-6521
1932177359DR. FREDERIC W LAFFERTY MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)1611 S GREEN RD #147
SOUTH EUCLID, OH 44121
(216) 381-1142
1659336279 ROBERT BENNETT EPPES M.D.
Individual
Dermatology1611 S GREEN RD SUITE 158
SOUTH EUCLID, OH 44121
(216) 382-9303
1679531628 MARK ROGER LEVINE M.D.
Individual
Ophthalmology1611 S GREEN RD SUITE 306A
SOUTH EUCLID, OH 44121
(219) 291-9770
1689626145 WILLIAM L ANNABLE M.D.
Individual
Ophthalmology1611 S GREEN RD SUITE 306C
CLEVELAND, OH 44121
(216) 382-8022
1598718322 RONALD L PRICE M.D.
Individual
Ophthalmology1611 S GREEN RD SUITE 306C
CLEVELAND, OH 44121
(216) 382-8022
1770538621UNIVERSITY OPHTHALMOLOGY ASSOCIATES, INC
Organization
Ophthalmology1611 S GREEN RD SUITE 306C
CLEVELAND, OH 44121
(216) 382-8022
1164461513DR. WILLIAM WAYNE STEINER M.D.; PH.D.
Individual
Internal Medicine1611 S GREEN RD SUITE 260
SOUTH EUCLID, OH 44121
(216) 382-2036
1881632362DR. HADLEY SCOTT MORGENSTERN-CLARREN M.D.
Individual
Internal Medicine1611 S GREEN RD SUITE 260
SOUTH EUCLID, OH 44121
(216) 381-4103
1700828738DR. PHILIP A. ANDERSON M.D.
Individual
Internal Medicine1611 S GREEN RD SUITE 260
SOUTH EUCLID, OH 44121
(216) 291-1650
1710918727DR. MICHAEL E SKERL DDS
Individual
Dentist (General Practice)1611 S GREEN RD SUITE 157
SOUTH EUCLID, OH 44121
(216) 381-6521
1518982735DR. RACHEL MIRIAN GARBER MD
Individual
Pediatrics1611 S GREEN RD SUITE 034
SOUTH EUCLID, OH 44121
(216) 297-2700
1770506917 JULIE H SWARTZ ATC
Individual
Specialist/Technologist (Athletic Trainer)1611 S GREEN RD
SOUTH EUCLID, OH 44121
(216) 291-0108
1134135841DR. JAMES MICHAEL COVIELLO M.D.
Individual
Internal Medicine1611 S GREEN RD SUITE 160
SOUTH EUCLID, OH 44121
(216) 691-3510
1124034822DR. LYDIA L. BURRELL M.D.
Individual
Internal Medicine1611 S GREEN RD SUITE 160
SOUTH EUCLID, OH 44121
(216) 297-3070

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457347890, enumerated in the NPI registry as an "individual" on September 21, 2005

The provider is located at 1611 S Green Rd South Euclid, Oh 44121 and the phone number is (216) 297-3168

The provider's speciality is Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease

The provider has more than 40 years of experience. He graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1986.

The provider might be accepting Accepts: AultCare Insurance Company, CareSource, MedMutual,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $126.12 with an average copayment of $31.53 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes and Initial hospital inpatient care per day, typically 70 minutes.

The practitioner is affiliated to the following hospital(s): UH CLEVELAND MEDICAL CENTER and UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 21, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.