JACLYN HEINZE SUMMERS (PA-C) – Physician Assistant, NPI 1073876777
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
Provider Addresses for JACLYN HEINZE SUMMERS (PA-C)
PO BOX 271160
FORT COLLINS, CO 805271160
Phone: (970) 221-9451
Type: Mailing
2802 MADISON SQUARE DR
LOVELAND, CO 805383396
Phone: (970) 221-9451
Type: Location
1801 16TH ST
GREELEY, CO 80631
Phone: (970) 810-3894
Fax: (970) 810-3897
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $497.
Total Amount is formed as General ($497) + Research ($0) + Ownership ($0) = $497.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($259).
Total Amount
$497
General + Research + Ownership
Payments
5
Total payment records
General Amount
$497
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $259 |
| CooperSurgical, Inc. | $121 |
| Tempus AI, Inc | $117 |
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: 2013-09-18
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 |
|---|---|---|---|---|
| I20130918000256 | I | Physician Assistant | CO | 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 | 42 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 19 | $0 |
Insurance plans in this area (ZIP 80527)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| - | CO | |
| Internal Medicine | CO | |
| N E U R O S U R G E R Y | CO | |
| - | OR | |
| Physical Therapist In Private Practice | KS | |
| Physical Therapist In Private Practice | CO | |
| N E U R O L O G Y | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO |
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