JENNIE B NALLY (MD) – Dermatology Physician, NPI 1548454622
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 DERMATOLOGY in CT
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Provider Addresses for JENNIE B NALLY (MD)
761, Main Avenue, Norwalk, Fairfield County, Connecticut, 06851, United States
SUITE 102
NORWALK, CT 068511080
Phone: (203) 810-4151
Fax: (203) 810-4150
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 221 Open Payments records for all available years, with a total value of $5,156.
Total Amount is formed as General ($5,156) + Research ($0) + Ownership ($0) = $5,156.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,012).
Total Amount
$5,156
General + Research + Ownership
Payments
221
Total payment records
General Amount
$5,156
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,012 |
| Janssen Biotech, Inc. | $913 |
| Regeneron Healthcare Solutions, Inc. | $602 |
| GENZYME CORPORATION | $538 |
| UCB, Inc. | $159 |
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: 2007-10-26
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 |
|---|---|---|---|---|
| I20071026000407 | I | Dermatology | CT | 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 | 409 | 325 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 373 | 94 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 191 | 139 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 164 | 138 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 69 | 62 | $0 |
Insurance plans in this area (ZIP 06851)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | CT | 17003 | Destruction of 2-14 skin growths | 185 | 78 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT | |
| D E R M A T O L O G Y | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| D E R M A T O L O G Y | NY | |
| - | CT | |
| - | TX | |
| Physician Assistant | NY | |
| Physician Assistant | CT | |
| Nurse Practitioner | CT |
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