PRACHI AJAY JAIN M.D
NPI 1225569783
Internal Medicine - Hematology & Oncology in Columbus, OH

Active since March 25, 2017PECOS EnrolledAccepts Medicare Assignment
76.19/100
CMS Quality Rating
410 W 10TH AVE, COLUMBUS, OH 43210(614) 293-8000 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2026, Jun 16, 2020, Sep 18, 2019 and 1 more (4 updates tracked since 2017).

About Prachi Ajay Jain M.d NPPES

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

PRACHI AJAY JAIN M.D (NPI 1225569783) is an individual hematology & oncology provider in Columbus, Ohio, licensed in Ohio (35138968) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1225569783
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NamePRACHI AJAY JAINCredential: M.D
Location Address410 W 10TH AVEColumbus, OH 43210-1240
Mailing Address410 W 10th AveColumbus, OH 43210-1240
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 25, 2017
Last NPPES UpdateApril 13, 20264 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
NPI 1225569783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in OH · 35138968
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125070097 (IL)
410 W 10TH AVE, Columbus, OH 43210

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

Prachi Ajay 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 ID4587934146
PECOS Enrollment IDI20231229001313, I20240712001188
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 5

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 low level od decision making, if using time, 20 minutes or more 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.
99 services80 patients
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.
80 services51 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
33 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
18 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Women's Hospital The

Acute Care Hospitals · Newburgh, IN
5/5 CMS rating
OwnershipProprietary
CMS Certification Number150149
Location4199 Gateway BlvdNewburgh, IN 47630 · Warrick County
Emergency services Birthing friendly

Deaconess Henderson Hospital

Acute Care Hospitals · Henderson, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180056
Location1305 N Elm StHenderson, KY 42420 · Henderson County
Emergency services Birthing friendly

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180093
Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County
Emergency services Birthing friendly

Methodist Hospital Union County

Critical Access Hospitals · Morganfield, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number181306
Location4604 Us Highway 60 WestMorganfield, KY 42437 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

76.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.05
Promoting Interoperability100
Improvement Activities40
Cost52.58

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.

Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Emergency Medicine
410 W 10TH AVE, EMERGENCY DEPARTMENT
COLUMBUS, OH 43210
Anesthesiology
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Hospitalist
410 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
410 W 10TH AVE, 368 DOAN HALL
COLUMBUS, OH 43210
Neurological Surgery
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner
410 W 10TH AVE
COLUMBUS, OH 43210

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 Prachi Jain's NPI number?

The NPI number for Prachi Jain is 1225569783. It was assigned to this individual provider in the NPPES registry on March 25, 2017.

Where is Prachi Jain located?

Prachi Jain practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8000.

What is Prachi Jain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Prachi Jain enrolled in Medicare?

Yes. Prachi 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 Prachi Jain accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Prachi 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 Prachi Jain affiliated with any hospitals?

According to CMS data, Prachi Jain is affiliated with Deaconess Hospital Inc, Women's Hospital The, Deaconess Henderson Hospital, Baptist Health Deaconess Madisonville and Methodist Hospital Union County.

When was this NPI record last updated?

The NPPES record for Prachi Jain was last updated on April 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.