DR. AJAY JAIN MD
NPI 1104853787
Internal Medicine - Cardiovascular Disease in Statesboro, GA

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
1497 FAIR RD, SUITE 305, STATESBORO, GA 30458(912) 681-2273 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ajay Jain Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AJAY JAIN MD (NPI 1104853787) is an individual cardiovascular disease provider in Statesboro, Georgia, licensed in Georgia (58253) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1104853787
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. AJAY JAINCredential: MD
Location Address1497 FAIR RD, SUITE 305Statesboro, GA 30458-0822
Mailing Address1497 Fair Rd, Suite 305Statesboro, GA 30458-0822 · (912) 681-2273
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 25, 2008
NPI 1104853787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in GA · 58253
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1497 FAIR RD, Statesboro, GA 30458

Other Identifiers 1

Medicare UPINF94270GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ajay Jain Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799782389
PECOS Enrollment IDI20061026000412
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,835 services573 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,134 services250 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
592 services296 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
415 services405 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
359 services356 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
320 services261 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

East Georgia Regional Medical Center

Acute Care Hospitals · Statesboro, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110075
Location1499 Fair RoadStatesboro, GA 30458 · Bulloch County
Emergency services

Emanuel Medical Center

Acute Care Hospitals · Swainsboro, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110109
Location117 Kite RoadSwainsboro, GA 30401 · Emanuel County
Emergency services

Candler County Hospital

Critical Access Hospitals · Metter, GA
OwnershipProprietary
CMS Certification Number111334
Location400 Cedar StreetMetter, GA 30439 · Candler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%1,113 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%156 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%1,216 patients5/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%1,216 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$39.65 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers15 claims15 services$99.15 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers12 claims28 services$36.40 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers17 claims17 services$56.53 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers23 claims23 services$16.77 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers19 claims19 services$15.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1497 FAIR RD
STATESBORO, GA 30458
Specialist
1497 FAIR RD, SUITE 201
STATESBORO, GA 30458
Obstetrics & Gynecology
1497 FAIR RD, SUITE 300
STATESBORO, GA 30458
Pediatrics
1497 FAIR RD, SUITE 206
STATESBORO, GA 30458
Nurse Anesthetist, Certified Registered
1497 FAIR RD, SUITE 102
STATESBORO, GA 30458
Nurse Practitioner (Obstetrics & Gynecology)
1497 FAIR RD, SUITE 300
STATESBORO, GA 30458
Surgery
1497 FAIR RD, SUITE 103
STATESBORO, GA 30458
Pediatrics (Pediatric Hematology-Oncology)
1497 FAIR RD, SUITE 200
STATESBORO, GA 30458

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ajay Jain's NPI number?

The NPI number for Ajay Jain is 1104853787. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Ajay Jain located?

Ajay Jain practices at 1497 Fair Rd Suite 305, Statesboro, GA 30458. The listed phone number is (912) 681-2273.

What is Ajay Jain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ajay Jain enrolled in Medicare?

Yes. Ajay Jain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ajay Jain accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ajay Jain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ajay Jain affiliated with any hospitals?

According to CMS data, Ajay Jain is affiliated with Au Medical Center, East Georgia Regional Medical Center, Emanuel Medical Center and Candler County Hospital.

When was this NPI record last updated?

The NPPES record for Ajay Jain was last updated on July 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.