BEENA JACOB (PA-C) – Physician Assistant, NPI 1770509200
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
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Provider Addresses for BEENA JACOB (PA-C)
201, Northwest 82nd Avenue, Plantation, Broward County, Florida, 33337, United States
S. 501
PLANTATION, FL 333247808
Phone: (954) 473-6750
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 305 Open Payments records for all available years, with a total value of $9,068.
Total Amount is formed as General ($9,068) + Research ($0) + Ownership ($0) = $9,068.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($1,390).
Total Amount
$9,068
General + Research + Ownership
Payments
305
Total payment records
General Amount
$9,068
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| REVANCE THERAPEUTICS, INC. | $1,390 |
| Incyte Corporation | $1,389 |
| Merz North America, Inc. | $1,260 |
| Dermavant Sciences, Inc. | $882 |
| Galderma Laboratories, L.P. | $593 |
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: 2008-11-20
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20081120000308 | 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 | 319 | 163 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 188 | 43 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 161 | 107 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 126 | 73 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 87 | 53 | $0 |
Insurance plans in this area (ZIP 33324)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | 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 | |
| D E R M A T O L O G Y | FL |
Reviews
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