SERGE JEAN (MD, PHD) – Otolaryngology Physician, NPI 1265491575

SERGE JEAN (MD, PHD) is a healthcare provider. based in Lakeland, Florida. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD, PHD. They hold a License No. ME78531 (FL). The NPI Number for SERGE JEAN (MD, PHD) is 1265491575

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
SERGE JEAN (MD, PHD)
NPI
1265491575
Phone
(863) 680-7000
Address
1600 LAKELAND HILLS BLVD
Enumeration Date
23 March 2006
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
8639046200
Graduation Year
1994 (32 years ago)
PAC ID
8426023623
Group Practice PAC ID
1456258979
Professional Enrollment ID
I20100127000334
Address ID
FL338053109LA1755XAVEX400

Contacts

Secure Messaging
sjean6616@direct.watsonclinicad.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

732 OTOLARYNGOLOGY in FL

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Provider Addresses for SERGE JEAN (MD, PHD)

  • 1600, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 338053019

    Phone: (863) 680-7000

    Fax: (866) 264-8519

    Type: Mailing

  • 1755, North Florida Avenue, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 338053109

    Phone: (863) 904-6296

    Fax: (866) 264-8519

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $1,457.

Total Amount is formed as General ($1,457) + Research ($0) + Ownership ($0) = $1,457.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Cochlear Americas ($429).

Total Amount

$1,457

General + Research + Ownership

Payments

43

Total payment records

General Amount

$1,457

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-01-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100127000334IOtolaryngologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes419260$0
31231Diagnostic exam of nasal passages using an endoscope260150$0
31575Diagnostic exam of voice box using a flexible endoscope208138$0
99213Established patient office or other outpatient visit, 20-29 minutes189140$0
99215Established patient office or other outpatient visit, 40-54 minutes11177$0
View full utilization report →

Insurance plans in this area (ZIP 33805)

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Provider's Procedures

SERGE JEAN (MD, PHD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYFL92567Eardrum testing using ear probe4241

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456258979View full group profile
NameSpecialtyState
Internal MedicineFL
A N E S T H E S I O L O G YFL
-FL
Physical Therapist In Private PracticeFL
Pulmonary Disease, Internal MedicineFL
-FL
Nurse PractitionerFL
Emergency MedicineFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What NPI should I save for SERGE JEAN (MD, PHD)?
Save NPI 1265491575 if you need a stable reference for SERGE JEAN (MD, PHD).
Is SERGE JEAN (MD, PHD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does SERGE JEAN (MD, PHD) treat or focus on?
Patients typically see SERGE JEAN (MD, PHD) under the specialty Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What location shows for SERGE JEAN (MD, PHD)?
We surface Lakeland, Florida for SERGE JEAN (MD, PHD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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