DR. JEFFREY WALTER SASSMANNSHAUSEN (M.D.) – Specialist, NPI 1316928195
Specialist
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Profile Insights
NPPES metrics only — not quality of care.
247 DERMATOLOGY in IN
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Provider Addresses for DR. JEFFREY WALTER SASSMANNSHAUSEN (M.D.)
5650, Coventry Lane, Liberty Hills, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468047140
Phone: (260) 436-9696
Fax: (888) 370-2203
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 670 Open Payments records for all available years, with a total value of $187,816.
Total Amount is formed as General ($187,816) + Research ($0) + Ownership ($0) = $187,816.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($37,101).
Total Amount
$187,816
General + Research + Ownership
Payments
670
Total payment records
General Amount
$187,816
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $37,101 |
| UCB, Inc. | $34,825 |
| Dermavant Sciences, Inc. | $29,641 |
| E.R. Squibb & Sons, L.L.C. | $22,119 |
| GENZYME CORPORATION | $15,902 |
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: 2010-01-19
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 |
|---|---|---|---|---|
| I20100119000418 | I | Dermatology | IN | 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 |
|---|---|---|---|---|
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 975 | 48 | $0 |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 955 | 49 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 941 | 232 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 917 | 47 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 762 | 657 | $0 |
Insurance plans in this area (ZIP 46804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| Physician Assistant | IN | |
| Physician Assistant | IN |
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