DR. JENNIFER LYNN WURST (MD) – Family Medicine Physician, NPI 1275510166
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in OH
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Provider Addresses for DR. JENNIFER LYNN WURST (MD)
State Road Family Practice, 12744, State Road, North Royalton, Cuyahoga County, Ohio, 44133, United States
NORTH ROYALTON, OH 441333910
Phone: (440) 582-1484
Fax: (440) 582-1594
Type: Location
303 E Royalton Rd Ste 101
Broadview Hts, OH 441472591
Phone: (440) 743-4740
Fax: (440) 743-4741
Type: Location
3009 SMITH RD STE 350
FAIRLAWN, OH 443332670
Phone: (330) 665-4488
Fax: (330) 665-4489
Type: Mailing
303 E ROYALTON RD STE 101
BROADVIEW HTS, OH 441472591
Phone: (440) 743-4740
Fax: (440) 743-4741
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $1,071.
Total Amount is formed as General ($1,071) + Research ($0) + Ownership ($0) = $1,071.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($315).
Total Amount
$1,071
General + Research + Ownership
Payments
74
Total payment records
General Amount
$1,071
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $315 |
| Exact Sciences Corporation | $120 |
| Novo Nordisk Inc | $111 |
| AstraZeneca Pharmaceuticals LP | $62 |
| PFIZER INC. | $54 |
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: 2004-11-23
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 |
|---|---|---|---|---|
| I20041123000946 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 279 | 127 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 112 | 73 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 96 | 96 | $0 |
| 83036 | Hemoglobin a1c level | 74 | 49 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 70 | 70 | $0 |
Insurance plans in this area (ZIP 44133)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 83036 | Hemoglobin A1C level | 26 | 18 |
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