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: August 16, 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 is a graduate of Medical College Of Pennsylvania (2001).

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

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.

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.

Internal Medicine (Critical Care Medicine)
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Emergency Medicine
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Physician Assistant
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Anesthesiology
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Physician Assistant
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Internal Medicine
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Nurse Anesthetist, Certified Registered
3188 BELLEVUE AVE
CINCINNATI, OH 45219

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 Sonu Jain's NPI number?

The NPI number for Sonu Jain is 1194997015. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Sonu Jain located?

Sonu Jain practices at 3188 Bellevue Ave, Cincinnati, OH 45219. The listed phone number is (513) 475-8881.

What is Sonu Jain's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Sonu Jain enrolled in Medicare?

Yes. Sonu 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 Sonu Jain accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Sonu 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 Sonu Jain affiliated with any hospitals?

According to CMS data, Sonu Jain is affiliated with University Of Cincinnati Medical Center, LLC and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Sonu Jain was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.