DR. JERRY VARGHESE THUTHIKATTU JOHN (MD) – Family Medicine Physician, NPI 1053920504
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,047 FAMILY PRACTICE in WI
Provider Addresses for DR. JERRY VARGHESE THUTHIKATTU JOHN (MD)
2400 W VILLARD AVE
MILWAUKEE, WI 532094901
Phone: (414) 527-8191
Type: Location
15 S MAIN ST STE 150
JAMESTOWN, NY 147016627
Phone: (716) 483-6700
Fax: (716) 664-7275
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2023-12-21 • Largest payer in this snapshot: Novo Nordisk Inc ($37).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $37 |
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: 2023-10-02
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 |
|---|---|---|---|---|
| I20231002002405 | I | Family Practice | NY | 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 | 69 | 55 | $0 |
| G0008 | Administration of influenza virus vaccine | 44 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 40 | $0 |
| 90682 | Influenza vaccine, quadrivalent derived from recombinant dna | 40 | 40 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 36 | 36 | $0 |
Insurance plans in this area (ZIP 53209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NY | |
| Physician Assistant | NY | |
| Internal Medicine, Nephrology | NY | |
| Family Practice | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| Emergency Medicine | NY | |
| - | NY |
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