DR. JEREMY T NG (MD) – Sports Medicine (Emergency Medicine) Physician, NPI 1407054380
Sports Medicine (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
164 SPORTS MEDICINE in MA
Provider Addresses for DR. JEREMY T NG (MD)
637 Washington St
Dorchester, MA 021243510
Phone: (617) 825-9660
Fax: (617) 288-7898
Type: Location
34TH & CIVIC CENTER BLVD
THE CHILDREN'S HOSPITAL OF PHILADELPHI
PHILADELHIA, PA 191044306
Phone: (215) 590-1572
Fax: (215) 590-1501
Type: Location
100, East Penn Square, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States
THE WANAMAKE BLDG. 9TH FLOOR
PHILADELPHIA, PA 191073323
Phone: (267) 425-9538
Fax: (267) 425-9552
Type: Mailing
960 MASSACHUSETTS AVE
FL 2
BOSTON, MA 02118
Phone:
Type: Mailing
915 COMMONWEALTH AVE REAR
BOSTON, MA 022151394
Phone: (617) 358-3400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $161.
Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Orthofix Medical, Inc. ($161).
Total Amount
$161
General + Research + Ownership
Payments
1
Total payment records
General Amount
$161
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 |
|---|---|
| Orthofix Medical, Inc. | $161 |
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: 2020-01-13
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 |
|---|---|---|---|---|
| I20200113000274 | I | Sports Medicine | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 26 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 13 | $0 |
Insurance plans in this area (ZIP 02124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MA | |
| Emergency Medicine | MA | |
| Registered Dietitian Or Nutrition Professional | MA | |
| Emergency Medicine | MA | |
| Emergency Medicine | PA | |
| Emergency Medicine | PA | |
| Emergency Medicine | MA | |
| Emergency Medicine | MA | |
| Emergency Medicine | MA | |
| Emergency Medicine | MA |
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