Pragya Virendrakumar Jain
NPI 1174150494 · Anatomic Pathology & Clinical Pathology Physician · Menomonee Falls, WI
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pragya Virendrakumar Jain is a Anatomic Pathology & Clinical Pathology Physician provider in Menomonee Falls, WI (NPI 1174150494).
Provider details
- NPI number
- 1174150494
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 76837 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
573 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 368 | $35 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 86 | $26 |
| Special Stained Specimen Slides to Examine Tissue, Initial Procedure88342 | 54 | $32 |
| Pathology Examination of Tissue Using a Microscope, Moderately High Complexity88307 | 44 | $76 |
| Pathology Examination of Tissue Using a Microscope, Moderately Low Complexity88304 | 21 | $10 |
Typical Medicare-allowed amounts for these services range $10–$76 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-03-25
- Last updated
- 2024-05-29
- Certified
- 2024-05-29
Frequently asked questions
- What is Pragya Virendrakumar Jain's NPI number?
- Pragya Virendrakumar Jain's National Provider Identifier (NPI) is 1174150494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pragya Virendrakumar Jain's specialty?
- Pragya Virendrakumar Jain is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Pragya Virendrakumar Jain located?
- Pragya Virendrakumar Jain's practice location on file with NPPES is W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518.
- What is Pragya Virendrakumar Jain's phone number?
- The practice phone number listed in the NPPES registry for Pragya Virendrakumar Jain is (262) 251-1000.
- Does Pragya Virendrakumar Jain accept Medicare?
- Pragya Virendrakumar Jain is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pragya Virendrakumar Jain's NPI active?
- Yes — Pragya Virendrakumar Jain's NPI (1174150494) is active in the NPPES registry as of the last update on 2024-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.