DR. ANDREW TODD JAFFE (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1699741405
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ANDREW TODD JAFFE (M.D.)
1015 CROSSPOINTE DRIVE
NAPLES, FL 34110
Phone: (239) 596-9075
Fax: (239) 596-9076
Type: Location
900 VILLAGE SQUARE XING STE 290
PALM BEACH GARDENS, FL 334104552
Phone: (392) 321-1802
Type: Mailing
Regions Bank, 15051, South Tamiami Trail, Fort Myers, Lee County, Florida, 33908, United States
SUITE 203
FORT MYERS, FL 33908
Phone: (239) 437-8810
Fax: (239) 313-2555
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $15,917.
Total Amount is formed as General ($15,917) + Research ($0) + Ownership ($0) = $15,917.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($15,706).
Total Amount
$15,917
General + Research + Ownership
Payments
8
Total payment records
General Amount
$15,917
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $15,706 |
| Verrica Pharmaceuticals Inc. | $101 |
| VERRICA PHARMACEUTICALS INC. | $73 |
| Dermavant Sciences, Inc. | $37 |
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: 2004-10-02
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 |
|---|---|---|---|---|
| I20041002000107 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | 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 | FL | |
| Physician Assistant | FL |
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