SIERRA JIN (M.D.) – Internal Medicine Physician, NPI 1033640503

SIERRA JIN (M.D.) is a healthcare provider. based in Clifton, New Jersey. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 25MA1149300 (NJ). The NPI Number for SIERRA JIN (M.D.) is 1033640503

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SIERRA JIN (M.D.)
NPI
1033640503
Phone
(973) 546-5700
Address
1016 MAIN AVE
Enumeration Date
25 March 2017
Last Update Date
12 January 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
9735465700
Graduation Year
2017 (9 years ago)
PAC ID
7810266582
Group Practice PAC ID
6002174737
Professional Enrollment ID
I20220819002411
Address ID
NJ070112327CL1016XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

606 OPHTHALMOLOGY in NJ

Provider Addresses for SIERRA JIN (M.D.)

  • 1016 MAIN AVE

    CLIFTON, NJ 070112327

    Phone: (973) 546-5700

    Type: Mailing

  • 180 HARVESTER DR STE 110

    BURR RIDGE, IL 605276686

    Phone: (773) 702-1150

    Type: Mailing

  • 2650 RIDGE AVE STE 1304

    EVANSTON, IL 602011718

    Phone: (847) 570-4789

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $964.

Total Amount is formed as General ($964) + Research ($0) + Ownership ($0) = $964.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($391).

Total Amount

$964

General + Research + Ownership

Payments

24

Total payment records

General Amount

$964

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2022-08-19

PECOS data refreshed: 2026-06-15

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
I20220819002411IOphthalmologyNJTBD

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
92012Established patient problem focused exam of visual system185141$0
92202Extended exam of the back part of the eye with optic nerve drawing131131$0
92014Established patient complete exam of visual system121115$0
92134Imaging of retina6960$0
92004New patient complete exam of visual system6363$0
View full utilization report →

Insurance plans in this area (ZIP 07011)

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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: 6002174737View full group profile
NameSpecialtyState
Qualified AudiologistNJ
O P T O M E T R YNJ
O P T O M E T R YNJ
O T O L A R Y N G O L O G YMA
O P H T H A L M O L O G YNY
-NY
O P H T H A L M O L O G YHI
Qualified AudiologistNJ
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YDE

Reviews

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Frequently asked questions

Where can patients find SIERRA JIN (M.D.)'s NPI?
You can confirm SIERRA JIN (M.D.) with NPI 1033640503; it appears in the national provider directory.
Is SIERRA JIN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does SIERRA JIN (M.D.) treat or focus on?
Patients typically see SIERRA JIN (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for SIERRA JIN (M.D.)?
We surface Clifton, New Jersey for SIERRA JIN (M.D.) based on available NPPES addresses.
Is SIERRA JIN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1033640503. Always confirm identity and privileges with the practice and licensing boards.

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