DR. JORGE R LUJAN HERNANDEZ (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1124480611
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
210 PLASTIC AND RECONSTRUCTIVE SURGERY in MA
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Provider Addresses for DR. JORGE R LUJAN HERNANDEZ (M.D.)
960 MASSACHUSETTS AVE
FL 2
BOSTON, MA 021182690
Phone:
Type: Mailing
UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States
WORCESTER, MA 016550002
Phone: (508) 334-1000
Type: Mailing
725 ALBANY STREET, FL 3 STE 3
SHAPIRO BLDG.
BOSTON, MA 02118
Phone: (617) 638-8419
Fax: (617) 414-0201
Type: Location
300 PASTEUR DR
STANFORD, CA 943052200
Phone: (650) 723-4000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $725.
Total Amount is formed as General ($725) + Research ($0) + Ownership ($0) = $725.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: KLS-Martin L.P. ($349).
Total Amount
$725
General + Research + Ownership
Payments
6
Total payment records
General Amount
$725
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KLS-Martin L.P. | $349 |
| AXOGEN | $139 |
| Mentor Worldwide LLC | $134 |
| DePuy Synthes Sales Inc. | $103 |
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: 2023-07-11
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 |
|---|---|---|---|---|
| I20230711004234 | I | Plastic And Reconstructive Surgery | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Thoracic Surgery, Cardiac Surgery | MA | |
| Thoracic Surgery, General Surgery | NY | |
| Nurse Practitioner | MA | |
| Plastic And Reconstructive Surgery | PA | |
| General Surgery | MA | |
| General Surgery, Colorectal Surgery (Proctology) | MA | |
| Surgical Oncology, General Surgery | MA | |
| Vascular Surgery, General Surgery | MA | |
| - | MA |
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