JOSE E III MENDOZA (M.D.) – Internal Medicine Physician, NPI 1578533659
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,199 INTERNAL MEDICINE in OH
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Provider Addresses for JOSE E III MENDOZA (M.D.)
Center Road, Avon, Lorain County, Ohio, 44011, United States
SUITE A
AVON, OH 440111239
Phone: (440) 937-4600
Fax: (440) 937-4605
Type: Location
1480 Center Rd
Suite A
Avon, OH 440111239
Phone: (440) 937-4600
Fax: (440) 937-4605
Type: Location
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452636461
Phone: (440) 989-3801
Fax: (440) 960-0264
Type: Mailing
1813 NAGEL RD STE 500
AVON, OH 440116401
Phone: (440) 937-4600
Fax: (440) 937-4605
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 136 Open Payments records for all available years, with a total value of $3,114.
Total Amount is formed as General ($3,114) + Research ($0) + Ownership ($0) = $3,114.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($911).
Total Amount
$3,114
General + Research + Ownership
Payments
136
Total payment records
General Amount
$3,114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $911 |
| GlaxoSmithKline, LLC. | $401 |
| PFIZER INC. | $251 |
| Amgen Inc. | $245 |
| AstraZeneca Pharmaceuticals LP | $220 |
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: 2004-09-10
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 |
|---|---|---|---|---|
| I20040910000259 | I | Internal Medicine | 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 | 251 | 163 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 225 | 159 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 115 | 115 | $0 |
| G0008 | Administration of influenza virus vaccine | 35 | 35 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 31 | 31 | $0 |
Insurance plans in this area (ZIP 44011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | OH | |
| - | OH | |
| - | OH | |
| Family Practice | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| - | OH | |
| - | OH |
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