DR. JONATHAN P PEZANOSKI (MD) – Gastroenterology Physician, NPI 1053355545

DR. JONATHAN P PEZANOSKI (MD) is a healthcare provider. based in Reno, Nevada. specializing in INTERNAL MEDICINE, GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 12280 (NV). The NPI Number for DR. JONATHAN P PEZANOSKI (MD) is 1053355545

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN P PEZANOSKI (MD)
NPI
1053355545
Phone
(775) 852-4848
Address
10619 PROFESSIONAL CIR
Enumeration Date
15 June 2006
Last Update Date
8 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7753294600
Graduation Year
2000 (26 years ago)
PAC ID
5890708036
Group Practice PAC ID
0941107478
Professional Enrollment ID
I20070727000337
Address ID
NV895021603RE880XXSTXX300
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

1,575 INTERNAL MEDICINE in NV

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Provider Addresses for DR. JONATHAN P PEZANOSKI (MD)

  • 10619, Professional Circle, Reno Tahoe Tech Center, Reno, Washoe County, Nevada, 89521, United States

    RENO, NV 895215831

    Phone: (775) 852-4848

    Fax: (775) 850-5763

    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 33 Open Payments records for all available years, with a total value of $971.

Total Amount is formed as General ($971) + Research ($0) + Ownership ($0) = $971.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($400).

Total Amount

$971

General + Research + Ownership

Payments

33

Total payment records

General Amount

$971

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2007-07-27

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
I20070727000337IGastroenterologyNVTBD

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
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope223218$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare212212$0
43248Insertion of guide wire with dilation of esophagus using a flexible endoscope8277$0
45380Biopsy of large bowel using a flexible endoscope8180$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk5959$0
View full utilization report →

Insurance plans in this area (ZIP 89521)

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Provider's Procedures

DR. JONATHAN P PEZANOSKI (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYNV45385Removal of polyps or growths of large bowel using an endoscope6968

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941107478View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YNV
Certified Registered Nurse Anesthetist (Crna)NV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
-NV
-UT
G A S T R O E N T E R O L O G YCA

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Frequently asked questions

Can I cross-check DR. JONATHAN P PEZANOSKI (MD) using NPI 1053355545?
NPI 1053355545 belongs to DR. JONATHAN P PEZANOSKI (MD); compare other details if you need extra assurance.
Is DR. JONATHAN P PEZANOSKI (MD) shown as active in public data?
Registry records indicate DR. JONATHAN P PEZANOSKI (MD) maintains an active NPI.
What area of care is associated with DR. JONATHAN P PEZANOSKI (MD)?
DR. JONATHAN P PEZANOSKI (MD)'s record emphasizes Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where in Nevada is DR. JONATHAN P PEZANOSKI (MD) registered?
Use Reno, Nevada as the headline location for DR. JONATHAN P PEZANOSKI (MD) here.
Can I trust this NPI listing for DR. JONATHAN P PEZANOSKI (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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