JENNIFER IRVINE (DO) – Family Medicine Physician, NPI 1346879731
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for JENNIFER IRVINE (DO)
685 MORRO AVE STE C
MORRO BAY, CA 934422233
Phone: (805) 772-7313
Fax: (805) 772-0395
Type: Mailing
2 James Way Ste 209
Pismo Beach, CA 934494976
Phone: (805) 549-6915
Fax: (805) 549-6916
Type: Location
901 Oak Park Blvd Ste 101
Pismo Beach, CA 934493409
Phone: (805) 481-2205
Fax: (805) 481-2206
Type: Location
1400 E CHURCH ST
SANTA MARIA, CA 934545906
Phone: (805) 354-7101
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: 2023-09-07
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 |
|---|---|---|---|---|
| I20230907002308 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 190 | 144 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 48 | 48 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 46 | 42 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 31 | 31 | $0 |
| G0008 | Administration of influenza virus vaccine | 31 | 31 | $0 |
Insurance plans in this area (ZIP 93442)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| General Surgery | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| General Surgery | CA |
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