JENNIFER LEW (PHYSICIAN ASSISTANT) – Surgical Physician Assistant, NPI 1023190212
Surgical Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
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Provider Addresses for JENNIFER LEW (PHYSICIAN ASSISTANT)
UCLA School of Dentistry, 10833, Le Conte Avenue, Westwood Village, Westwood, Los Angeles, Los Angeles County, California, 90095, United States
LOS ANGELES, CA 90095
Phone: (310) 319-1234
Type: Location
280 S Main St
Ste 200
Orange, CA 928683852
Phone: (714) 634-4567
Fax: (714) 634-4569
Type: Location
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
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: 2008-12-30
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 |
|---|---|---|---|---|
| I20081230000447 | I | Physician Assistant | CA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 151 | 133 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 91 | 87 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 42 | 40 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 15 | 15 | $0 |
Insurance plans in this area (ZIP 90095)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CA | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 17 | 17 |
| PHYSICIAN ASSISTANT | CA | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 26 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Emergency Medicine | IL | |
| Orthopedic Surgery, Sports Medicine | CA | |
| Family Practice, Sports Medicine | CA | |
| Sports Medicine, Orthopedic Surgery | CA | |
| - | CA | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | CA | |
| Orthopedic Surgery | CA | |
| - | CA | |
| Nurse Practitioner | CA |
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