Active NPI 1013203082 Individual Practitioner Female Practitioner

Dr. Deepali Jain , MD

Surgery • Derby, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Deepali Jain, MD is a certified Surgery practicing in Derby, CT. With approximately 15 years of clinical experience since graduating from Medical College Of Wisconsin in 2011, Dr. Jain delivers high-quality medical care to the local community at 350 SEYMOUR AVE STE 2.

Dr. Jain is affiliated with Griffin Faculty Physicians Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

350 Seymour Ave Ste 2

Derby, CT 064181336

Telephone 2037323443

Fax 8552871988

Associated Practice Facility / Clinic

🏢 General And Laproscopic Surgical Facility NPI 1720018336

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Derby, CT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -11.3 yrs vs City Avg

City Avg: 26.3 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Derby, CT (388 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jain (15 Years) 15 Yrs

Derby Specialty Average (26.3 Years) 26.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$415.00	$169.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$215.44	$71.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$477.95	$163.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$321.48	$109.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	32	$366.05	$124.18
99213 Established patient office or other outpatient visit, typically 15 minutes	32	31	$259.28	$88.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	18	$218.69	$77.84
49650 Repair of groin hernia using an endoscope	25	25	$1712.24	$491.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	19	$121.24	$48.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$374.24	$127.90
47562 Removal of gallbladder using an endoscope	15	15	$2012.85	$623.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$529.23	$171.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$474.67	$166.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$318.26	$112.11
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	51	$65.37	$23.44
99213 Established patient office or other outpatient visit, typically 15 minutes	35	33	$258.57	$89.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$364.43	$128.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$200.00	$70.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$160.85	$56.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$108.69	$34.25
47562 Removal of gallbladder using an endoscope	12	12	$2102.69	$658.71
49650 Repair of groin hernia using an endoscope	12	12	$1695.19	$502.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$450.00	$168.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$294.00	$110.68
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	39	39	$64.00	$23.17
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$205.00	$92.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$297.00	$130.78
49650 Repair of groin hernia using an endoscope	17	17	$1587.60	$451.74
47562 Removal of gallbladder using an endoscope	14	14	$1928.50	$662.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$294.59	$108.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$450.00	$166.16
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$203.75	$75.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$297.00	$110.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	15	$198.58	$72.92
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$208.56	$75.27
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	17	$64.00	$23.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	13	$108.00	$39.42
47562 Removal of gallbladder using an endoscope	12	12	$1894.79	$609.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$553.64	$204.29
49650 Repair of groin hernia using an endoscope	11	11	$1536.86	$501.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$451.02	$164.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$296.00	$108.47
99213 Established patient office or other outpatient visit, typically 15 minutes	22	17	$202.05	$74.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$555.60	$201.80
49650 Repair of groin hernia using an endoscope	16	16	$1973.94	$545.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$296.00	$104.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$108.00	$39.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$450.83	$160.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	18	$294.39	$108.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	14	$198.90	$72.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$108.00	$39.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$376.00	$136.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$296.00	$108.35
47562 Removal of gallbladder using an endoscope	12	12	$1884.98	$674.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$556.83	$202.94
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$200.00	$73.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$450.00	$152.18

Medical Specialties & State Licenses

CMS Verified: 2024-06-07

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CT 78280

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2087508 (WA)

Hospital & Practice Group Affiliations

Griffin Faculty Physicians Inc

350 Seymour Ave, Derby, CT 064181336

Phone: 2037323443

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Ihor Ponomarenko , MD

Surgery

NPI 1568491181

Doctor of Medicine (M.D.)

Dr. Daniel Lavy , MD

Colon & Rectal Surgery

NPI 1578841797

Doctor of Medicine (M.D.)

Dr. Leland Soto , MD

Surgery

NPI 1801823729

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location June 07, 2024

Registered at 350 SEYMOUR AVE STE 2, DERBY, CT 064181336 (Tel: 2037323443)

📍

Updated Business Mailing Address June 07, 2024

Registered at 67 MAPLE AVE, DERBY, CT 064181328 (Tel: 2037323443)

👤

Provider Name / Credentials Updated June 07, 2024

Recorded as DEEPALI JAIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2024

Surgery (License #78280 in CT)

📍

Updated Practice Location December 04, 2020

Registered at 11511 CANTERWOOD BLVD STE 140, GIG HARBOR, WA 983325817 (Tel: 2535302940)

📍

Updated Business Mailing Address December 04, 2020

Registered at 11511 CANTERWOOD BLVD STE 140, GIG HARBOR, WA 983325817 (Tel: 2535302940)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2020

Surgery (License #MD60779039 in WA)

✅

NPI Profile Active June 28, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2011

Registered at 1000 MONROE AVE NW, GRAND RAPIDS, MI 495031455 (Tel: 6167326200)

📍

Updated Business Mailing Address June 28, 2011

Registered at 1000 MONROE AVE NW, GRAND RAPIDS, MI 495031455

👤

Provider Name / Credentials Updated June 28, 2011

Recorded as DEEPALI JAIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2011

Surgery (License #4301098632 in MI)

🟢

Initial NPI Registration & Enumeration June 28, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013203082

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 28, 2011

Last Update: June 07, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

67 Maple Ave

Derby, CT 064181328

Phone: 2037323443

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.