SIERRA JIN (M.D.) – Internal Medicine Physician, NPI 1033640503
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS INC. | $391 |
| ABBVIE INC. | $270 |
| Bausch & Lomb Americas Inc. | $176 |
| Johnson & Johnson Surgical Vision, Inc. | $98 |
| Alcon Vision LLC | $15 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220819002411 | I | Ophthalmology | NJ | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 185 | 141 | $0 |
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 131 | 131 | $0 |
| 92014 | Established patient complete exam of visual system | 121 | 115 | $0 |
| 92134 | Imaging of retina | 69 | 60 | $0 |
| 92004 | New patient complete exam of visual system | 63 | 63 | $0 |
Insurance plans in this area (ZIP 07011)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | NJ | |
| O P T O M E T R Y | NJ | |
| O P T O M E T R Y | NJ | |
| O T O L A R Y N G O L O G Y | MA | |
| O P H T H A L M O L O G Y | NY | |
| - | NY | |
| O P H T H A L M O L O G Y | HI | |
| Qualified Audiologist | NJ | |
| O P H T H A L M O L O G Y | NY | |
| O P H T H A L M O L O G Y | DE |
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