DR. JESSICA ELLEN PANKO (M.D) – Diagnostic Radiology Physician, NPI 1366641060
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
90 DIAGNOSTIC RADIOLOGY in AK
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Provider Addresses for DR. JESSICA ELLEN PANKO (M.D)
3427, East Tudor Road, Anchorage, Alaska, 99507, United States
STE A
ANCHORAGE, AK 995071282
Phone: (907) 456-2784
Fax: (907) 452-1073
Type: Mailing
Fairbanks Memorial Hospital, 1650, Cowles Street, South Fairbanks, Fairbanks, Fairbanks North Star, Alaska, 99701, United States
FAIRBANKS, AK 997015999
Phone: (907) 452-6464
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-11-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111129000250 | I | Diagnostic Radiology | AK | TBD |
| I20161112000116 | I | Diagnostic Radiology | TX | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 425 | 350 | $0 |
| 77067 | Screening mammography | 374 | 374 | $0 |
| 77063 | Screening 3d breast mammography | 371 | 371 | $0 |
| 71046 | X-ray of chest, 2 views | 268 | 257 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 253 | 239 | $0 |
Insurance plans in this area (ZIP 99507)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | AK | 71250 | CT scan chest | 50 | 47 |
| DIAGNOSTIC RADIOLOGY | AK | 73562 | X-ray of knee, 3 views | 67 | 60 |
| DIAGNOSTIC RADIOLOGY | AK | 73630 | X-ray of foot, minimum of 3 views | 64 | 56 |
| DIAGNOSTIC RADIOLOGY | AK | 74177 | CT scan of abdomen and pelvis with contrast | 182 | 179 |
| DIAGNOSTIC RADIOLOGY | AK | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | AK | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 45 | 45 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AK | |
| - | AK | |
| Internal Medicine | NY | |
| - | AK | |
| Diagnostic Radiology | NC | |
| Nurse Practitioner | AK | |
| Family Practice | AK | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | WA | |
| Certified Nurse Midwife (Cnm) | AK |
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