JEAN L BOLOGNIA (MD) – Dermatology Physician, NPI 1942291331
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 JEAN L BOLOGNIA (MD)
9805, Northwest Ash Street, West Haven, Portland, Metro, Washington County, Oregon, 97229, United States
300 GEORGE ST, 6TH FLOOR
NEW HAVEN, CT 065360805
Phone: (203) 785-7998
Type: Mailing
Lippard Laboratory, 15, York Street, Downtown, New Haven, New Haven County, Connecticut, 06511, United States
NEW HAVEN, CT 065103221
Phone: (203) 785-4632
Fax: (203) 785-3315
Type: Location
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: 2010-03-11
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 |
|---|---|---|---|---|
| I20100311000946 | 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 | 382 | 278 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 158 | 112 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 140 | 52 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 133 | 94 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 68 | 32 | $0 |
Insurance plans in this area (ZIP 06536)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CT | |
| H E M A T O L O G Y/ O N C O L O G Y | CT | |
| Internal Medicine, Nephrology | SC | |
| - | CT | |
| - | NC | |
| Internal Medicine | CT | |
| - | CT | |
| Cardiac Surgery | CT | |
| - | CT | |
| - | CT |
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