AJAY V. JETLEY (MD) – Emergency Medicine Physician, NPI 1023243623
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,673 EMERGENCY MEDICINE in OH
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Provider Addresses for AJAY V. JETLEY (MD)
3045, Arlington Avenue, Toledo, Lucas County, Ohio, 43614, United States
GRADUATE MEDICAL EDUCATION - MS1050
TOLEDO, OH 436142570
Phone: (419) 383-4244
Type: Mailing
46 UNION AVE
CRESSKILL, NJ 076262125
Phone: (201) 399-7695
Fax: (201) 399-7697
Type: Mailing
35 ACKERMAN AVE
CLIFTON, NJ 070111501
Phone: (973) 928-2880
Fax: (973) 928-2881
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $238.
Total Amount is formed as General ($238) + Research ($0) + Ownership ($0) = $238.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Kedrion Biopharma, Inc. ($189).
Total Amount
$238
General + Research + Ownership
Payments
4
Total payment records
General Amount
$238
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kedrion Biopharma, Inc. | $189 |
| Boston Scientific Corporation | $31 |
| ABBVIE INC. | $19 |
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: 2013-01-22
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 |
|---|---|---|---|---|
| I20130122000158 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 292 | 266 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 160 | 154 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 119 | 115 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 99 | 96 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 84 | 81 | $0 |
Insurance plans in this area (ZIP 43614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ |
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