MS. JACLYN SONIA AGOPIAN (MPAP, PA-C) – Medical Physician Assistant, NPI 1053629121
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for MS. JACLYN SONIA AGOPIAN (MPAP, PA-C)
4836 VAN NUYS BLVD
SHERMAN OAKS, CA 914032101
Phone: (818) 907-7546
Fax: (818) 907-9506
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 230 Open Payments records for all available years, with a total value of $36,523.
Total Amount is formed as General ($36,523) + Research ($0) + Ownership ($0) = $36,523.
Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($25,963).
Total Amount
$36,523
General + Research + Ownership
Payments
230
Total payment records
General Amount
$36,523
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $25,963 |
| Arcutis Biotherapeutics, Inc. | $7,092 |
| ABBVIE INC. | $601 |
| GENZYME CORPORATION | $534 |
| Novartis Pharmaceuticals Corporation | $248 |
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: 2012-01-05
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 |
|---|---|---|---|---|
| I20120105000081 | 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 | 432 | 213 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 224 | 49 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 188 | 108 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 96 | 67 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 91 | 76 | $0 |
Insurance plans in this area (ZIP 91403)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Pathology | CA | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | CA | |
| - | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| Nurse Practitioner | CA | |
| - | CA |
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