DR. PRAVEEN JETTY (M.D.) – Psychiatry Physician, NPI 1174613160
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
336 PSYCHIATRY in AL
Provider Addresses for DR. PRAVEEN JETTY (M.D.)
401 TUSCALOOSA AVE. S.W., SUITE 110
BIRMINGHAM, AL 35211
Phone: (205) 785-2000
Fax: (205) 785-2945
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $2,595.
Total Amount is formed as General ($2,595) + Research ($0) + Ownership ($0) = $2,595.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($406).
Total Amount
$2,595
General + Research + Ownership
Payments
33
Total payment records
General Amount
$2,595
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040203000185 | I | Psychiatry | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 450 | 108 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 103 | 97 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 51 | 36 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 39 | 39 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 27 | 26 | $0 |
Insurance plans in this area (ZIP 35211)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | AL | 90792 | Psychiatric diagnostic evaluation with medical services | 94 | 94 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AL | |
| Nurse Practitioner | AL | |
| Pulmonary Disease | AL | |
| E N D O C R I N O L O G Y | NY | |
| Critical Care (Intensivists), Pulmonary Disease | OH | |
| Nurse Practitioner | AL | |
| General Surgery | AL | |
| Pulmonary Disease, Critical Care (Intensivists) | AL | |
| Nurse Practitioner | WI | |
| General Surgery | AL |
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