JACQUELYN D PERNA (DO) – Family Medicine Physician, NPI 1013011980
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
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Provider Addresses for JACQUELYN D PERNA (DO)
Broadway, Land Park, Sacramento, Sacramento County, California, 95818, United States
SACRAMENTO, CA 958201527
Phone: (916) 874-9670
Type: Location
280, Farnum Street, North Andover, Essex County, Massachusetts, 01845, United States
NORTH ANDOVER, MA 018455612
Phone: (916) 874-9670
Type: Mailing
725 CONCORD AVE STE 2000
CAMBRIDGE, MA 021381052
Phone: (617) 661-4600
Type: Location
330 MOUNT AUBURN ST # 2
CAMBRIDGE, MA 021385597
Phone:
Type: Mailing
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: 2008-10-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081016000436 | I | Family Practice | MA | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 142 | 92 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 94 | 75 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 45 | 45 | $0 |
| G0008 | Administration of influenza virus vaccine | 34 | 33 | $0 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 33 | 26 | $0 |
Insurance plans in this area (ZIP 95820)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Internal Medicine | MA | |
| - | MA | |
| - | MA | |
| N E U R O L O G Y | MA |
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