DR. JACQUELINE THOMAS (D.O.) – Dermatology Physician, NPI 1740518430
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Provider Addresses for DR. JACQUELINE THOMAS (D.O.)
13800 TAMIAMI TRL N STE 112
NAPLES, FL 341106204
Phone: (239) 500-7546
Fax: (239) 294-8125
Type: Mailing
Collier Boulevard, Naples Lakes, Collier County, Florida, 34113, United States
STE 406
NAPLES, FL 341143626
Phone: (239) 354-6351
Fax: (239) 354-6357
Type: Mailing
13800 Tamiami Trl N Ste 112
Naples, FL 341106204
Phone: (239) 500-7546
Fax: (239) 294-8125
Type: Location
3200, South University Drive, Davie, Broward County, Florida, 33328, United States
SUITE 4345 ZIFF BUILDING
DAVIE, FL 333282018
Phone: (954) 262-1647
Fax: (954) 262-3981
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $170.
Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($64).
Total Amount
$170
General + Research + Ownership
Payments
6
Total payment records
General Amount
$170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $64 |
| Kerecis Limited | $48 |
| Organogenesis Inc. | $41 |
| Galderma Laboratories, L.P. | $18 |
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: 2011-09-14
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 |
|---|---|---|---|---|
| I20110914000388 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,363 | 342 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 593 | 413 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 538 | 372 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 396 | 281 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 264 | 187 | $0 |
Insurance plans in this area (ZIP 34110)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| U R O L O G Y | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA |
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