JEAN HELEN MCCLINTOCK (MD) – Dermatology Physician, NPI 1134167687
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Provider Addresses for JEAN HELEN MCCLINTOCK (MD)
PO BOX 13834
TALLAHASSEE, FL 323173834
Phone: (904) 512-1899
Fax: (904) 503-1052
Type: Mailing
14810 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 322582451
Phone: (904) 512-1899
Fax: (904) 503-1052
Type: Mailing
7711 BAYMEADOWS RD E STE 6
JACKSONVILLE, FL 322569110
Phone: (904) 731-1770
Fax: (904) 996-8300
Type: Location
14810 OLD SAINT AUGUSTINE RD STE 103
JACKSONVILLE, FL 322582558
Phone: (904) 512-1899
Fax: (904) 503-1052
Type: Location
Lake Mead Avenue, Jacksonville, Duval County, Florida, 32256, United States
SUITE 401
JACKSONVILLE, FL 322569680
Phone: (904) 731-1770
Fax: (904) 996-8300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 205 Open Payments records for all available years, with a total value of $5,398.
Total Amount is formed as General ($5,398) + Research ($0) + Ownership ($0) = $5,398.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,465).
Total Amount
$5,398
General + Research + Ownership
Payments
205
Total payment records
General Amount
$5,398
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,465 |
| E.R. Squibb & Sons, L.L.C. | $695 |
| Incyte Corporation | $391 |
| Arcutis Biotherapeutics, Inc. | $386 |
| GENZYME CORPORATION | $180 |
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: 2004-05-21
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 |
|---|---|---|---|---|
| I20040521001093 | I | Dermatology | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 4,000 | 18 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,554 | 236 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 734 | 440 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 505 | 310 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 377 | 267 | $0 |
Insurance plans in this area (ZIP 32317)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | GA | |
| P A T H O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL |
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