JESSICA ASHLI CLEVENGER (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1124262357
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
311 PATHOLOGY in IN
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Provider Addresses for JESSICA ASHLI CLEVENGER (M.D.)
IU Health Pathology Laboratory, 350, West 11th Street, Fayette Street Conservation Area, Indianapolis, Marion, Indiana, 46202, United States
ROOM 4070
INDIANAPOLIS, IN 462024108
Phone: (317) 491-6350
Fax: (317) 491-6411
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 2 Open Payments records for all available years, with a total value of $164.
Total Amount is formed as General ($164) + Research ($0) + Ownership ($0) = $164.
Last reported payment date: 2023-02-18 • Largest payer in this snapshot: Roche Diagnostics Corporation ($87).
Total Amount
$164
General + Research + Ownership
Payments
2
Total payment records
General Amount
$164
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Roche Diagnostics Corporation | $87 |
| AstraZeneca Pharmaceuticals LP | $77 |
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: 2015-10-09
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 |
|---|---|---|---|---|
| I20151009001829 | I | Pathology | KY | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,566 | 809 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 404 | 83 | $0 |
| 88108 | Cell examination of specimen, concentration technique | 253 | 161 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 183 | 155 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 161 | 106 | $0 |
Insurance plans in this area (ZIP 46202)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | IN | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 185 | 154 |
| PATHOLOGY | IN | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 163 | 124 |
| PATHOLOGY | IN | 88342 | Tissue or cell analysis by immunologic technique | 146 | 125 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| - | KY | |
| P A T H O L O G Y | KY | |
| P A T H O L O G Y | KY |
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