SONU ABHISHEK JAIN M.D.
NPI 1194997015
Plastic Surgery in Cincinnati, OH

Active since April 01, 2008PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
3188 BELLEVUE AVE, CINCINNATI, OH 45219(513) 475-8881(513) 475-8880 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sonu Abhishek Jain M.d. NPPES

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

SONU ABHISHEK JAIN M.D. (NPI 1194997015) is an individual plastic surgery provider in Cincinnati, Ohio, licensed in Ohio (35.098976) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1194997015
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameSONU ABHISHEK JAINCredential: M.D.
Location Address3188 BELLEVUE AVECincinnati, OH 45219-2369
Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 585-5506 · Fax (513) 585-5511
Fax(513) 475-8880
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 2001
Enumeration DateApril 1, 2008
Last NPPES UpdateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
NPI 1194997015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses Licensed in OH · 35.098976 Licensed in FL · ME104736
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License ME 104736 (FL)
Also ListedOtolaryngologyTaxonomy 207Y00000X · License ME 104736 (FL)
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 35098976 (OH)
3188 BELLEVUE AVE, Cincinnati, OH 45219

Secondary Practice Location 1

Location 1915 Olentangy River Rd, Ste 3200Columbus, OH 43212-3153 · Phone (614) 366-4263 · Fax (614) 366-0131

Other Identifiers 1

Medicaid0063967OH

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

Sonu Abhishek Jain M.d. 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 ID1052485992
PECOS Enrollment IDI20120508000173
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 15

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
344 services54 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
93 services73 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
75 services75 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services42 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
44 services32 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
34 services26 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier26 claims33 services$49.38 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
1 supplier15 claims16 services$60.84 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 20

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

Physician Assistant
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Pathology (Anatomic Pathology & Clinical Pathology)
3188 BELLEVUE AVE, PATHOLOGY
CINCINNATI, OH 45219
Obstetrics & Gynecology (Gynecologic Oncology)
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Registered Nurse (Critical Care Medicine)
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Nurse Anesthetist, Certified Registered
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Nurse Anesthetist, Certified Registered
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Physical Therapist
3188 BELLEVUE AVE
CINCINNATI, OH 45219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194997015, enumerated as an "individual" on April 01, 2008.

The provider is located at 3188 BELLEVUE AVE CINCINNATI, OH 45219 and the phone number is (513) 475-8881.

Plastic Surgery with taxonomy code 208200000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Sonu Jain is affiliated with: UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC and WEST CHESTER HOSPITAL.