MS. JEANETTE MARIE GLUCK (PA-C) – Physician Assistant, NPI 1023072170
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for MS. JEANETTE MARIE GLUCK (PA-C)
Minton Road Northwest, Palm Bay, Brevard County, Florida, 32907, United States
PALM BAY, FL 329071157
Phone: (321) 768-1600
Fax: (321) 435-0100
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 3 Open Payments records for all available years, with a total value of $77.
Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.
Last reported payment date: 2023-11-28 • Largest payer in this snapshot: Amgen Inc. ($53).
Total Amount
$77
General + Research + Ownership
Payments
3
Total payment records
General Amount
$77
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $53 |
| Novartis Pharmaceuticals Corporation | $24 |
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: 2006-05-05
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 |
|---|---|---|---|---|
| I20060505000810 | I | Physician Assistant | FL | 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 | 921 | 564 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 701 | 144 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 366 | 280 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 298 | 223 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 197 | 166 | $0 |
Insurance plans in this area (ZIP 32907)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 17003 | Destruction of 2-14 skin growths | 107 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Pathology, Dermatology | FL | |
| Physician Assistant | MA | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL |
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