JACK CHARLES JAWITZ (MD) – Dermatology Physician, NPI 1316934714
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
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Provider Addresses for JACK CHARLES JAWITZ (MD)
2919 26TH ST WEST
BRADENTON, FL 342053737
Phone: (941) 755-2255
Fax: (941) 756-4465
Type: Mailing
2919, 26th Street West, Bradenton, Manatee County, Florida, 34205, United States
BRADENTON, FL 342053737
Phone: (941) 755-2255
Fax: (941) 755-3349
Type: Mailing
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 $317.
Total Amount is formed as General ($317) + Research ($0) + Ownership ($0) = $317.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($65).
Total Amount
$317
General + Research + Ownership
Payments
16
Total payment records
General Amount
$317
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
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: 2010-11-10
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 |
|---|---|---|---|---|
| I20101110001425 | 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 |
|---|---|---|---|---|
| 77401 | Superficial and/or low voltage radiation treatment delivery | 683 | 48 | $0 |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 451 | 47 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 445 | 81 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 297 | 209 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 177 | 107 | $0 |
Insurance plans in this area (ZIP 34205)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | FL | 11042 | Removal of skin and tissue first 20 sq cm or less | 30 | 18 |
| DERMATOLOGY | FL | 11101 | Biopsy of each additional growth of skin and/or tissue | 314 | 147 |
| DERMATOLOGY | FL | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 13 | 12 |
| DERMATOLOGY | FL | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 25 | 23 |
| DERMATOLOGY | FL | 17003 | Destruction of 2-14 skin growths | 1290 | 240 |
| DERMATOLOGY | FL | 77300 | Calculation of radiation therapy dose | 145 | 97 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL |
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