JENNIFER S DODGE (PA-C) – Physician Assistant, NPI 1558402230
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
Provider Addresses for JENNIFER S DODGE (PA-C)
40 TEMPLE ST
SUITE 4A
NEW HAVEN, CT 065102715
Phone: (203) 777-0304
Fax: (203) 401-4687
Type: Mailing
22 WESTFIELD AVE
ANSONIA, CT 064011158
Phone: (203) 736-9919
Fax: (203) 735-2055
Type: Location
67 MAPLE AVE
DERBY, CT 064181328
Phone: (203) 736-9919
Fax: (203) 735-2055
Type: Mailing
215 Elm St Ste 201
Old Saybrook, CT 064754151
Phone: (959) 223-1500
Fax: (860) 339-6050
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $382.
Total Amount is formed as General ($382) + Research ($0) + Ownership ($0) = $382.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($67).
Total Amount
$382
General + Research + Ownership
Payments
16
Total payment records
General Amount
$382
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
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: 2011-10-31
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 |
|---|---|---|---|---|
| I20111031000654 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| J3380 | Injection, vedolizumab, 1 mg | 12,000 | 16 | $0 |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 1,590 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 89 | 79 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 82 | 65 | $0 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 46 | 20 | $0 |
Insurance plans in this area (ZIP 06510)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MI | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| Nurse Practitioner | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine, Hospitalist, Internal Medicine | NY |
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