JACLYN SARA BRABEC (PA-C) – Physician Assistant, NPI 1710343686
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
Provider Addresses for JACLYN SARA BRABEC (PA-C)
98 POPLAR ST
BLACKFOOT, ID 832211758
Phone: (208) 782-2930
Type: Mailing
3040 E 17TH ST
AMMON, ID 834066760
Phone: (208) 557-0200
Type: Location
20201 N SCOTTSDALE HEALTHCARE DR STE 260
SCOTTSDALE, AZ 852554140
Phone: (480) 398-1550
Fax: (480) 398-1551
Type: Mailing
7125 E Lincoln Dr Ste A101
Paradise Valley, AZ 852534429
Phone: (480) 398-1550
Fax: (480) 398-1551
Type: Location
8406 E Shea Blvd Ste 100
Scottsdale, AZ 852606659
Phone: (480) 398-1550
Fax: (480) 398-1551
Type: Location
2561 S 1560 W UNIT B
WOODS CROSS, UT 840872361
Phone: (801) 505-0821
Fax: (801) 505-0803
Type: Mailing
2376 N 400 E STE 202
TOOELE, UT 840743413
Phone: (801) 906-1403
Fax: (801) 964-6478
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 67 Open Payments records for all available years, with a total value of $1,501.
Total Amount is formed as General ($1,501) + Research ($0) + Ownership ($0) = $1,501.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($207).
Total Amount
$1,501
General + Research + Ownership
Payments
67
Total payment records
General Amount
$1,501
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| REVANCE THERAPEUTICS, INC. | $207 |
| Dermavant Sciences, Inc. | $206 |
| ABBVIE INC. | $142 |
| GENZYME CORPORATION | $122 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $100 |
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: 2024-06-11
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 |
|---|---|---|---|---|
| I20240611000894 | I | Physician Assistant | AZ | 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 | 282 | 48 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 117 | 84 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 86 | 74 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 81 | 71 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 81 | 69 | $0 |
Insurance plans in this area (ZIP 83221)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | AZ | |
| Physician Assistant | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | AZ | |
| D E R M A T O L O G Y | NY | |
| Physician Assistant | AZ |
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