JEREMY CLIFTON CUZZOURT (MD) – Otolaryngology Physician, NPI 1013948694
Otolaryngology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
535 OTOLARYNGOLOGY in OH
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Provider Addresses for JEREMY CLIFTON CUZZOURT (MD)
98, State Street, Sunny Acres, Proctorville, Lawrence County, Ohio, 45669, United States
PROCTORVILLE, OH 456698163
Phone: (855) 446-5937
Fax: (740) 886-9374
Type: Location
90 JACKSON PIKE
GALLIPOLIS, OH 456311560
Phone: (740) 886-9370
Fax: (740) 886-9374
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $80.
Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.
Last reported payment date: 2024-08-02 • Largest payer in this snapshot: Lilly USA, LLC ($29).
Total Amount
$80
General + Research + Ownership
Payments
5
Total payment records
General Amount
$80
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $29 |
| Tris Pharma Inc | $20 |
| Phathom Pharmaceuticals, Inc. | $18 |
| ABBVIE INC. | $14 |
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: 2015-02-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (920 days ago).
Enrollment records
2
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20060803000034 | I | Otolaryngology | WV | 2023-11-30 |
| I20150223001474 | I | Otolaryngology | OH | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 206 | 151 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 37 | 30 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 30 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 45669)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | KY | |
| - | OH | |
| Internal Medicine | WV | |
| Internal Medicine | OH | |
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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