DR. JACK ANNUNZIATO (D.O.) – Physical Medicine & Rehabilitation Physician, NPI 1821478744
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
394 PLASTIC AND RECONSTRUCTIVE SURGERY in PA
Provider Addresses for DR. JACK ANNUNZIATO (D.O.)
1500 LANSDOWNE AVE
DARBY, PA 190231200
Phone: (610) 237-4000
Type: Mailing
1200 E RIDGEWOOD AVE STE 306
RIDGEWOOD, NJ 074503937
Phone: (201) 612-4857
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $631.
Total Amount is formed as General ($631) + Research ($0) + Ownership ($0) = $631.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ABBVIE INC. ($217).
Total Amount
$631
General + Research + Ownership
Payments
30
Total payment records
General Amount
$631
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $217 |
| Azurity Pharmaceuticals, Inc. | $173 |
| Lilly USA, LLC | $69 |
| PFIZER INC. | $50 |
| Pacira Pharmaceuticals Incorporated | $21 |
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: 2020-07-29
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 |
|---|---|---|---|---|
| I20200729000508 | I | Plastic And Reconstructive Surgery | NJ | 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 | 355 | 187 | $0 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 84 | 17 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 83 | 83 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 83 | 29 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 82 | 82 | $0 |
Insurance plans in this area (ZIP 19023)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant Cardiology | NY | |
| Family Practice | NJ | |
| C H I R O P R A C T I C | NJ | |
| Internal Medicine | NJ | |
| - | PA | |
| - | NJ | |
| - | NC | |
| General Surgery | NY | |
| Certified Nurse Midwife (Cnm) | NY | |
| Nurse Practitioner | NJ |
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