Dr. Sumesh Jain, MD

  • Merced, CA
  • Interventional cardiologist
NPI1811197734PAC ID6901021674
Medicare services, 2024
4,689
Medicare patients, 2024
1,429
Part D claims, 2024
1,457
Publications
3
MIPS score, 2024
100
Practice address
1100 Olivewood Dr, Merced, CA 95348
Practice phone
Call (304) 685-7472
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Merced Cardiology

Merced, California

See all 4 affiliations

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Dr. Sumesh Jain is an interventional cardiologist in Merced, California

Dr. Jain practices at Merced Cardiology in Merced, California.

Dr. Jain's NPI, 1811197734, was assigned on July 19, 2007. Dr. Jain holds California license C161907.

NPI and contact details
Medicare PAC ID
6901021674
NPI enumeration date
July 19, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(304) 685-7472
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
57
Medical school graduation
1995

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Sumesh Jain practices at Merced Cardiology in Merced, California

Dr. Jain's primary practice is Merced Cardiology, at 1100 Olivewood Dr, Merced, CA 95348 in Merced County. The practice phone is (304) 685-7472.

  • Merced Cardiology
    1100 Olivewood Dr, Merced, CA 95348 · Merced CountyPhone(304) 685-7472

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Sumesh Jain is affiliated with 3 sites of care and 1 medical group

Dr. Jain's primary practice is Merced Cardiology in Merced, California. Dr. Jain is also affiliated with Dignity Health - Mercy Medical Center. Dmand AI also links Dr. Jain to 1 more group practice or clinic and 1 medical group, each named with a free account.

See all 4 affiliations for Dr. Jain

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Sumesh Jain's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Jain practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Merced CardiologyAvailable with a free account
+2 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Sumesh Jain is one of 582 interventional cardiologists in California

Interventional cardiology is Dr. Jain's primary specialty in the NPI Registry, under taxonomy code 207RI0011X. Dr. Jain is board certified in cardiovascular disease by the American Board of Internal Medicine. Dmand AI has Dr. Jain's licenses on file in 3 states: California, Louisiana and West Virginia.

Specialties and state licenses

  • Interventional cardiology, CaliforniaPrimaryLicense C161907 · 2019 to 2027 · taxonomy 207RI0011X
  • Cardiovascular disease, LouisianaLicense MD 206898 · 2014 to 2020 · taxonomy 207RC0000X
  • West Virginia license2010 to 2014

Clinical focus

Dmand AI lists angioplasty, cardiac catheterization, pacemaker or defibrillator implantation and pacemaker replacement among the conditions Dr. Jain treats.

Interventional cardiologists near Dr. Jain

Counts of interventional cardiologists with a Dmand AI profile, by place and practice. Each opens the list.

582interventional cardiologists in California
2interventional cardiologists in Merced

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Sumesh Jain billed Medicare for 4,689 services in 2024

CMS data shows 4,689 Medicare services from Dr. Jain across 24 procedure codes in 2024, for 1,429 Medicare patients. Medicare paid $268,260 for them.

Medicare services, 20244,689
Medicare patients1,429
Paid by Medicare$268,260
Procedure codes24

Dr. Jain's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Tests and treatments
2023: 3,5542024: 2,83820%
Office and hospital visits
2023: 1,5322024: 1,38410%
Drugs given in the office
2023: 1372024: 18434%
Other services
2023: 1572024: 18015%
Imaging
2023: 472024: 103119%

Where Dr. Jain's Medicare services took place, 2024

  • In an office2,43852%
  • In a facility2,25148%

Dr. Jain compared with the California median for interventional cardiologists, 2024

  • Dr. Jain
  • California median
Medicare services
4,689vs 2,38796% above
Medicare patients
1,429vs 75190% above
Part D claims
1,332vs 1,82627% below

Medians across 573 interventional cardiologists in California with Dmand AI profiles that report each measure.

Dr. Jain's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Jain

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Jain and other interventional cardiologists in California.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Sumesh Jain treated 1,429 Medicare patients in 2024, average age 74

CMS counts 1,429 Medicare patients who saw Dr. Jain in 2024. The largest group is 65 to 74, with 555 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 46% are also on Medicaid. Their average risk score is 1.88, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Jain's median patient age at 63, with 54% women.

Medicare patients, 20241,429
Average age74
Average risk score1.88
Also on Medicaid46%

Dr. Jain's Medicare patients by age, 2024

Dr. Jain's Medicare patients by sex, 2024

  • Women78255%
  • Men64745%

Chronic conditions among Dr. Jain's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis49%
  4. Diabetes48%
  5. Ischemic heart disease40%
  6. Chronic kidney disease36%
  7. Heart failure36%
  8. Atrial fibrillation32%

Share of Medicare patients with each condition. A patient can have several.

Dr. Jain's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 63

Patient panel by sex, all payers

  • Women54%
  • Men45%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Sumesh Jain wrote 1,457 Medicare Part D claims in 2024

In 2024, Dr. Jain wrote 1,457 Medicare Part D claims for 256 patients. 80% of them were for generic drugs. CMS names the drug for 1,332 of them, across 28 drugs with 11 or more claims each, at $358,290 in total drug cost. In 2023, CMS named 913 claims across 20 drugs.

Part D claims, 20241,457
Drugs named by CMS28
Total drug cost$358,290
Part D patients256

Dr. Jain's Part D claims by kind of drug, 2024

  • Generic1,162 claims80%
  • Brand-name and other295 claims20%

Dr. Jain's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 9132024: 1,33246%

Drugs named by CMS: 28 in 2024, 20 in 2023.

See all prescribing by Dr. Jain

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Sumesh Jain scored 100 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Dr. Jain for performance year 2024, reported through an alternative payment model (APM). Dr. Jain accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 11 procedures of coronary angioplasty and stenting by Dr. Jain, more than 30% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Jain's MIPS scores, performance year 2024

  • 100of 100Final score
  • 86.3of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Jain ranks in Medicare procedure volume

Coronary angioplasty and stenting
30th percentile11 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Pacemaker insertion or repair: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Sumesh Jain has 3 publications on record

Dmand AI links 3 papers to Dr. Jain. The most frequent topics are Coronary Angiography, Coronary Artery Disease and West Virginia. Dr. Jain has published most often in W V Med J. Dr. Jain's most frequent co-authors are Wissam Gharib, MD, Bradford E. Warden, MD and Robert J. Beto, MD.

Papers3

Topics Dr. Jain writes about most

  • Coronary Angiography
  • Coronary Artery Disease
  • West Virginia

Dr. Jain's most frequent co-authors

Recent publications by Dr. Jain

See all 3 publications and co-authors

See who Dr. Jain researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Jain works with, so you can find a warm path to the right interventional cardiologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Sumesh Jain received $3,445 in industry payments from 2016 to 2025

CMS Open Payments shows 279 general payments to Dr. Jain from 20 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Novartis Pharmaceuticals Corporation paid the most, $594.

General payments to Dr. Jain by program year, 2016 to 2025

Companies that paid Dr. Jain the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Jain

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Sumesh Jain is board certified in cardiovascular disease

  1. Board certified in cardiovascular diseaseAmerican Board of Internal Medicine
  2. Board certified in interventional cardiologyAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Sumesh Jain accepts plans from 10 insurance carriers

Dr. Jain is in network with 10 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • Excellus BlueCross BlueShield
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • HCSC
  • Regence Health Plans
  • Blue Cross and Blue Shield of Kansas City
  • +2 more carriersWith a free account

Plan types Dr. Jain accepts, by number of carriers

  1. Medicare8
  2. PPO8
  3. HMO6
  4. POS5
  5. EPO4

Source: Dmand AI Insurance Network Data

Sources for Dr. Sumesh Jain's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Sumesh Jain

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Sumesh Jain's NPI number?

Dr. Sumesh Jain's NPI number is 1811197734. It was assigned on July 19, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. Sumesh Jain?

Dr. Sumesh Jain is an interventional cardiologist in Merced, California. The primary specialty in the NPI Registry is Interventional Cardiology Physician (taxonomy code 207RI0011X).

Where does Dr. Sumesh Jain practice?

Dr. Jain practices at 1100 Olivewood Dr, Merced, CA 95348. Dr. Jain's primary practice is Merced Cardiology in Merced, California. Dmand AI also links Dr. Jain to 1 group practice or clinic and 1 medical group.

What is Dr. Sumesh Jain's office phone number?

The practice phone on file for Dr. Jain is (304) 685-7472.

What is Dr. Sumesh Jain's medical license number?

Dr. Jain holds California license C161907, one of the licenses on file in 3 states.

Which states has Dr. Sumesh Jain been licensed in?

Dmand AI has state licenses on file for Dr. Jain in California (2019 to 2027), Louisiana (2014 to 2020) and West Virginia (2010 to 2014).

Which hospitals is Dr. Sumesh Jain affiliated with?

Dr. Jain is affiliated with Dignity Health - Mercy Medical Center.

Does Dr. Sumesh Jain accept Medicare?

Yes. CMS data shows Dr. Jain billed Medicare for 4,689 services in 2024, and Dr. Jain accepts Medicare assignment.

What is Dr. Sumesh Jain's MIPS score?

Dr. Jain's MIPS final score for performance year 2024 is 100 out of 100, reported through an alternative payment model (APM).

How many Medicare patients does Dr. Sumesh Jain see?

CMS counts 1,429 Medicare patients who saw Dr. Jain in 2024, with an average age of 74.

Show 8 more questionsShow fewer questions

Is Dr. Sumesh Jain board certified?

Yes. Dr. Jain is board certified in cardiovascular disease by the American Board of Internal Medicine.

What services does Dr. Sumesh Jain bill to Medicare?

In 2024, Dr. Jain's most billed Medicare services were heart test or procedure (93010), office visit, established patient (99214) and heart test or procedure (93306).

What drugs does Dr. Sumesh Jain prescribe most?

In 2024 Medicare Part D data, Dr. Jain's most prescribed drugs by claims were Eliquis, Metoprolol Tartrate and Metoprolol Succinate.

Has Dr. Sumesh Jain received payments from drug or device companies?

CMS Open Payments shows $3,445 in general payments to Dr. Jain from 20 companies from 2016 to 2025. The largest total came from Novartis Pharmaceuticals Corporation.

How long has Dr. Sumesh Jain been practicing?

Dr. Jain graduated from medical school in 1995, 31 years ago.

Does Dr. Sumesh Jain do research?

Dmand AI links 3 publications to Dr. Jain.

Who does Dr. Sumesh Jain publish with?

Dr. Jain's most frequent co-authors are Wissam Gharib, MD (2 shared papers), Bradford E. Warden, MD (2 shared papers) and Robert J. Beto, MD (1 shared paper).

What insurance does Dr. Sumesh Jain accept?

Dr. Jain is in network with 10 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.

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