DR. CHARAY JENNINGS-DOVER (M.D., PH.D.) – Dermatopathology (Pathology) Physician, NPI 1114282076
Dermatopathology (Pathology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,583 PATHOLOGY in CA
Provider Addresses for DR. CHARAY JENNINGS-DOVER (M.D., PH.D.)
305 PARK CREEK DR
CLOVIS, CA 936114426
Phone:
Type: Mailing
2000 LAKE PARK DR SE
SMYRNA, GA 300807611
Phone: (678) 556-5411
Type: Mailing
PO BOX 23329
NEW YORK, NY 100873329
Phone:
Type: Mailing
305 Park Creek Dr
Clovis, CA 936114426
Phone: (559) 326-2800
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: 2021-05-21
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 |
|---|---|---|---|---|
| I20210521000450 | I | Pathology | GA | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 12,678 | 8,052 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 1,258 | 1,027 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 978 | 670 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 515 | 426 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 255 | 233 | $0 |
Insurance plans in this area (ZIP 93611)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | CA | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 51 | 44 |
| PATHOLOGY | CA | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 51 | 38 |
| PATHOLOGY | CA | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 82 | 59 |
| PATHOLOGY | CA | 88342 | Tissue or cell analysis by immunologic technique | 33 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | GA | |
| - | GA | |
| P A T H O L O G Y | LA | |
| - | GA |
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