JESSICA L BISHOP (MD) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1639732159

JESSICA L BISHOP (MD) is a healthcare provider. based in Birmingham, Alabama. specializing in OTOLARYNGOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. DR.0072669 (CO). The NPI Number for JESSICA L BISHOP (MD) is 1639732159

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA L BISHOP (MD)
NPI
1639732159
Phone
Not provided
Address
625 19TH ST S
Enumeration Date
19 April 2019
Last Update Date
4 February 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7205161100
Graduation Year
2019 (7 years ago)
PAC ID
8527300748
Group Practice PAC ID
3476465667
Professional Enrollment ID
I20240816001628
Address ID
CO801296688HI1500XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

182 OTOLARYNGOLOGY in AL

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Provider Addresses for JESSICA L BISHOP (MD)

  • 625, 19th Street South, Phelan Park Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 352331900

    Phone:

    Type: Mailing

  • PO BOX 110429

    AURORA, CO 800420429

    Phone:

    Type: Mailing

  • 1500 PARK CENTRAL DR

    HIGHLANDS RANCH, CO 801296688

    Phone: (720) 516-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $1,346.

Total Amount is formed as General ($1,346) + Research ($0) + Ownership ($0) = $1,346.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Stryker Corporation ($466).

Total Amount

$1,346

General + Research + Ownership

Payments

21

Total payment records

General Amount

$1,346

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240816001628IOtolaryngologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476465667View full group profile
NameSpecialtyState
-CO
Family PracticeCO
Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
Emergency MedicineCO
Emergency MedicineCO
-CO
-CO
Emergency MedicineCO
-CO
-CO

Reviews

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Frequently asked questions

What is the registry number for JESSICA L BISHOP (MD)?
The registry entry for JESSICA L BISHOP (MD) shows NPI 1639732159.
Does the public listing show JESSICA L BISHOP (MD) as active?
JESSICA L BISHOP (MD)'s NPI record reflects an active status in NPPES.
What type of care does JESSICA L BISHOP (MD) provide?
JESSICA L BISHOP (MD)'s profile centers on Plastic Surgery within the Head & Neck (Otolaryngology) Physician. Clinical services aligned with this taxonomy classification.
Is JESSICA L BISHOP (MD) tied to Birmingham, Alabama?
If you are local to Birmingham, Alabama, JESSICA L BISHOP (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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