DR. JACLYN HESS (MD) – Dermatology Physician, NPI 1154717544
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
409 DERMATOLOGY in GA
Provider Addresses for DR. JACLYN HESS (MD)
1004 Chafee Ave
Augusta, GA 309045810
Phone: (706) 721-6231
Fax: (706) 721-6220
Type: Location
108 DORNACH WAY
ADVANCE, NC 270067305
Phone: (336) 940-2407
Type: Location
2341 KINGS WAY
AUGUSTA, GA 309044487
Phone: (336) 909-0222
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 $752.
Total Amount is formed as General ($752) + Research ($0) + Ownership ($0) = $752.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($311).
Total Amount
$752
General + Research + Ownership
Payments
16
Total payment records
General Amount
$752
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $311 |
| PFIZER INC. | $123 |
| ABBVIE INC. | $108 |
| Incyte Corporation | $92 |
| UCB, Inc. | $64 |
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: 2019-07-29
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 |
|---|---|---|---|---|
| I20190729003691 | I | Dermatology | NC | 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 | 734 | 122 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 298 | 225 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 261 | 175 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 226 | 161 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 193 | 139 | $0 |
Insurance plans in this area (ZIP 30904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NC | |
| Physician Assistant | VA | |
| D E R M A T O L O G Y | GA | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | NC | |
| D E R M A T O L O G Y | NC | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | NC | |
| D E R M A T O L O G Y | NY | |
| Physician Assistant | NC | |
| - | NC |
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