DR. JACK CHENG (M.D.) – Family Medicine Physician, NPI 1053576223
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,103 FAMILY PRACTICE in GA
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Provider Addresses for DR. JACK CHENG (M.D.)
South Enota Drive Northeast, Gainesville, Hall County, Georgia, 30501, United States
SUITE Q
GAINESVILLE, GA 305012400
Phone: (770) 219-6602
Type: Mailing
4754, Martin Road, Oakwood, Hall County, Georgia, 30542, United States
FLOWERY BRANCH, GA 305423507
Phone: (770) 848-9130
Fax: (770) 848-9131
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 68 Open Payments records for all available years, with a total value of $1,580.
Total Amount is formed as General ($1,580) + Research ($0) + Ownership ($0) = $1,580.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($382).
Total Amount
$1,580
General + Research + Ownership
Payments
68
Total payment records
General Amount
$1,580
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $382 |
| Merz North America, Inc. | $309 |
| Amgen Inc. | $162 |
| Novo Nordisk Inc | $148 |
| Lilly USA, LLC | $95 |
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: 2011-07-15
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 |
|---|---|---|---|---|
| I20110715000406 | I | Family Practice | GA | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 226 | 133 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 123 | 104 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 100 | 81 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 96 | 96 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 57 | $0 |
Insurance plans in this area (ZIP 30501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | GA | |
| - | GA | |
| A N E S T H E S I O L O G Y | GA | |
| - | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Surgical Oncology, General Surgery | NJ | |
| Pulmonary Disease | NY |
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