DR. AJAY JAIN (MD) – Cardiovascular Disease Physician, NPI 1104853787

DR. AJAY JAIN (MD) is a healthcare provider. based in Statesboro, Georgia. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 58253 (GA). The NPI Number for DR. AJAY JAIN (MD) is 1104853787

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. AJAY JAIN (MD)
NPI
1104853787
Phone
(912) 681-2273
Address
1497 FAIR RD
Enumeration Date
27 June 2006
Last Update Date
25 July 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9126812273
Graduation Year
1989 (37 years ago)
PAC ID
5799782389
Professional Enrollment ID
I20061026000412
Address ID
GA304580828ST1497XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA

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Provider Addresses for DR. AJAY JAIN (MD)

  • 1497, Fair Road, Somerset, Statesboro, Bulloch County, Georgia, 30458, United States

    SUITE 305

    STATESBORO, GA 304580822

    Phone: (912) 681-2273

    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 29 Open Payments records for all available years, with a total value of $706.

Total Amount is formed as General ($706) + Research ($0) + Ownership ($0) = $706.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Boston Scientific Corporation ($272).

Total Amount

$706

General + Research + Ownership

Payments

29

Total payment records

General Amount

$706

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-10-26

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
I20061026000412ICardiovascular Disease (Cardiology)GATBD

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 minutes1,891650$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,451273$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function610587$0
A9500Technetium tc-99m sestamibi, diagnostic, per study dose600300$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report484469$0
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Insurance plans in this area (ZIP 30458)

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Provider's Procedures

DR. AJAY JAIN (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies510507
INTERNAL MEDICINEGA93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report4016

Reviews

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Frequently asked questions

Can I cross-check DR. AJAY JAIN (MD) using NPI 1104853787?
NPI 1104853787 belongs to DR. AJAY JAIN (MD); compare other details if you need extra assurance.
Is DR. AJAY JAIN (MD) still an active registrant?
DR. AJAY JAIN (MD) carries an active NPI according to the public dataset.
What expertise is attributed to DR. AJAY JAIN (MD)?
DR. AJAY JAIN (MD)'s specialty line reads Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. AJAY JAIN (MD)?
Directory geography for DR. AJAY JAIN (MD) centers on Statesboro, Georgia.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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