JERRY W LIN (MD) – Otolaryngology Physician, NPI 1356464689
Otolaryngology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
179 OTOLARYNGOLOGY in KY
Provider Addresses for JERRY W LIN (MD)
PO BOX 909
LOUISVILLE, KY 402010909
Phone: (502) 588-0329
Fax: (502) 588-0326
Type: Mailing
401 E CHESTNUT ST UNIT 170
LOUISVILLE, KY 402025701
Phone: (502) 583-3687
Fax: (502) 588-7840
Type: Location
401 E Chestnut St Unit 170
Louisville, KY 402025701
Phone: (502) 583-3687
Fax: (502) 588-7840
Type: Location
1000 Breckenridge St Ste 303
Owensboro, KY 423030877
Phone: (270) 688-2720
Fax: (270) 688-2729
Type: Location
PO BOX 776879
CHICAGO, IL 606776379
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
411 E CHESTNUT ST # STREET6
LOUISVILLE, KY 402021713
Phone: (502) 583-3687
Fax: (502) 588-7840
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $1,427.
Total Amount is formed as General ($1,427) + Research ($0) + Ownership ($0) = $1,427.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Stryker Corporation ($331).
Total Amount
$1,427
General + Research + Ownership
Payments
20
Total payment records
General Amount
$1,427
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 |
|---|---|
| Stryker Corporation | $331 |
| MED-EL Corporation | $330 |
| Inspire Medical Systems, Inc. | $133 |
| Regeneron Healthcare Solutions, Inc. | $128 |
| DePuy Synthes Sales Inc. | $125 |
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: 2017-04-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170426001445 | I | Otolaryngology | KY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 54 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 49 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 37 | 37 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 19 | 19 | $0 |
| 69210 | Removal of impacted ear wax | 15 | 14 | $0 |
Insurance plans in this area (ZIP 40201)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | KY | |
| - | KY | |
| - | KY | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| O P H T H A L M O L O G Y | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY |
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