JELENA EDDY (PA) – Physician Assistant, NPI 1386020659
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
Provider Addresses for JELENA EDDY (PA)
6140 TUTT BLVD STE 200
COLORADO SPRINGS, CO 809233576
Phone: (719) 380-6800
Fax: (719) 380-6815
Type: Mailing
9348 GRAND CORDERA PKWY STE 160
COLORADO SPRINGS, CO 809247023
Phone: (719) 355-1585
Fax: (719) 623-2983
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $694.
Total Amount is formed as General ($694) + Research ($0) + Ownership ($0) = $694.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($295).
Total Amount
$694
General + Research + Ownership
Payments
7
Total payment records
General Amount
$694
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-08-09
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 |
|---|---|---|---|---|
| I20170809002098 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,480 | 266 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 519 | 428 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 395 | 333 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 310 | 276 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 242 | 242 | $0 |
Insurance plans in this area (ZIP 80923)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | MA |
Reviews
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