DR. JEFFREY T PREM (M.D) – Vascular Surgery Physician, NPI 1235110693
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
303 VASCULAR SURGERY in OH
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Provider Addresses for DR. JEFFREY T PREM (M.D)
203, Whipple Avenue Northwest, Harter Heights, Canton, Stark County, Ohio, 44708, United States
NORTH CANTON, OH 447207616
Phone: (330) 588-8900
Fax: (330) 588-8990
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $16,153.
Total Amount is formed as General ($16,153) + Research ($0) + Ownership ($0) = $16,153.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Boston Scientific Corporation ($10,970).
Total Amount
$16,153
General + Research + Ownership
Payments
54
Total payment records
General Amount
$16,153
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $10,970 |
| Penumbra, Inc. | $3,144 |
| W. L. Gore & Associates, Inc. | $1,694 |
| Endologix LLC | $145 |
| CORDIS US CORP. | $99 |
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: 2004-08-18
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 |
|---|---|---|---|---|
| I20040818001473 | I | General Surgery | OH | 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 | 433 | 318 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 294 | 282 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 281 | 277 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 260 | 252 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 159 | 159 | $0 |
Insurance plans in this area (ZIP 44720)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | OH | 93922 | Ultrasound study of arteries of both arms and legs | 141 | 134 |
| GENERAL SURGERY | OH | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 89 | 79 |
| GENERAL SURGERY | OH | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 464 | 448 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine | OH | |
| Registered Dietitian Or Nutrition Professional | OH | |
| Certified Clinical Nurse Specialist (Cns) | OH | |
| Vascular Surgery, General Surgery | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology) | OH |
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