DR. JESSICA NGUYEN GILLESPIE (MD) – Plastic and Reconstructive Surgery Physician, NPI 1457573917
Plastic and Reconstructive Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
126 PLASTIC AND RECONSTRUCTIVE SURGERY in IN
Provider Addresses for DR. JESSICA NGUYEN GILLESPIE (MD)
8051 SOUTH EMERSON AVENUE, SUITE 450
INDIANAPOLIS, IN 46237
Phone: (317) 859-3259
Fax: (317) 859-3265
Type: Mailing
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
8051 S EMERSON AVE STE 450
INDIANAPOLIS, IN 462378667
Phone: (317) 859-3259
Fax: (317) 859-3265
Type: Location
1040 SIERRA DR STE 400
GREENWOOD, IN 461437241
Phone: (317) 528-4800
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $441.
Total Amount is formed as General ($441) + Research ($0) + Ownership ($0) = $441.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Mentor Worldwide LLC ($232).
Total Amount
$441
General + Research + Ownership
Payments
12
Total payment records
General Amount
$441
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $232 |
| ABBVIE INC. | $176 |
| Smith+Nephew, Inc. | $19 |
| Biocomposites Inc | $14 |
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: 2011-07-08
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 |
|---|---|---|---|---|
| I20110708000036 | I | Plastic And Reconstructive Surgery | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 43 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 16 | $0 |
Insurance plans in this area (ZIP 46237)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | MI | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | MI | |
| Internal Medicine | IN | |
| Internal Medicine, Emergency Medicine | MI |
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