DR. JEFFREY A. PRUITT (M.D.) – Surgery Physician, NPI 1689656696
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,600 GENERAL SURGERY in OH
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Provider Addresses for DR. JEFFREY A. PRUITT (M.D.)
East 2nd Street, Defiance, Defiance County, Ohio, 43512, United States
DEFIANCE, OH 435122440
Phone: (419) 784-1414
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 4 Open Payments records for all available years, with a total value of $73.
Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.
Last reported payment date: 2023-06-06 • Largest payer in this snapshot: Organogenesis Inc. ($50).
Total Amount
$73
General + Research + Ownership
Payments
4
Total payment records
General Amount
$73
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $50 |
| Takeda Pharmaceuticals U.S.A., Inc. | $23 |
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: 2010-10-04
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 |
|---|---|---|---|---|
| I20101004000974 | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 76 | 13 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 47 | 45 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 42 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 28 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 26 | 25 | $0 |
Insurance plans in this area (ZIP 43512)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OH | |
| General Surgery, Anesthesiology, Critical Care (Intensivists) | OH | |
| Cardiovascular Disease (Cardiology) | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Orthopedic Surgery | OH | |
| Nurse Practitioner | OH | |
| Certified Nurse Midwife (Cnm) | OH |
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