PRIYANKA JAIN – Pulmonary Disease Physician, NPI 1124405899
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,199 INTERNAL MEDICINE in OH
Provider Addresses for PRIYANKA JAIN
2213 CHERRY ST
TOLEDO, OH 436082603
Phone: (419) 251-4554
Fax: (419) 251-6795
Type: Mailing
2213 FRANKLIN AVE
TOLEDO, OH 436201402
Phone: (419) 251-4554
Fax: (419) 251-6795
Type: Location
4330 NAVARRE AVE STE 101
OREGON, OH 436163587
Phone: (419) 693-4151
Fax: (419) 693-8137
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 209 Open Payments records for all available years, with a total value of $3,909.
Total Amount is formed as General ($3,909) + Research ($0) + Ownership ($0) = $3,909.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($808).
Total Amount
$3,909
General + Research + Ownership
Payments
209
Total payment records
General Amount
$3,909
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $808 |
| GlaxoSmithKline, LLC. | $624 |
| Grifols USA, LLC | $269 |
| GENZYME CORPORATION | $243 |
| Inspire Medical Systems, Inc. | $213 |
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: 2025-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220221000485 | I | Internal Medicine | OH | TBD |
| I20251121002020 | I | Internal Medicine | MI | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 385 | 175 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 249 | 143 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 222 | 127 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 179 | 179 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 178 | 178 | $0 |
Insurance plans in this area (ZIP 43608)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | OH | |
| Nurse Practitioner | OH |
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