JACK DUPEE – Medical Physician Assistant, NPI 1194318600
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for JACK DUPEE
900 MOHAWK STREET STE E
SAVANNAH, GA 31419
Phone: (912) 925-0067
Fax: (912) 927-0267
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 107 Open Payments records for all available years, with a total value of $2,310.
Total Amount is formed as General ($2,310) + Research ($0) + Ownership ($0) = $2,310.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($556).
Total Amount
$2,310
General + Research + Ownership
Payments
107
Total payment records
General Amount
$2,310
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $556 |
| GENZYME CORPORATION | $371 |
| UCB, Inc. | $251 |
| ABBVIE INC. | $168 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $148 |
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: 2022-10-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20221005000232 | I | Physician Assistant | GA | TBD |
| I20221017000907 | I | Physician Assistant | SC | 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 |
|---|---|---|---|---|
| 11103 | Biopsy of related skin growth, each additional growth | 618 | 205 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 388 | 278 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 276 | 211 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 166 | 129 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 71 | 67 | $0 |
Insurance plans in this area (ZIP 31419)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| D E R M A T O L O G Y | GA | |
| Physician Assistant | GA | |
| Physician Assistant | SC | |
| Physician Assistant | GA | |
| D E R M A T O L O G Y | SC | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | GA | |
| Physician Assistant | SC | |
| Cardiac Surgery, Peripheral Vascular Disease, Thoracic Surgery, Vascular Surgery, Thoracic Surgery, Vascular Surgery, Cardiovascular Disease (Cardiology) | GA |
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