JENNIFER PHAN (M.D.) – Otolaryngology Physician, NPI 1861621880
Otolaryngology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
242 OTOLARYNGOLOGY in IN
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Provider Addresses for JENNIFER PHAN (M.D.)
Hocker & Associates, 6626, East 75th Street, Indianapolis, Indiana, 46250, United States
SUITE 500
INDIANAPOLIS, IN 462502805
Phone:
Type: Mailing
3113, North Broadway Street, Anderson, Madison County, Indiana, 46012, United States
ANDERSON, IN 460121261
Phone: (765) 298-4660
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $362.
Total Amount is formed as General ($362) + Research ($0) + Ownership ($0) = $362.
Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Cook Medical LLC ($345).
Total Amount
$362
General + Research + Ownership
Payments
3
Total payment records
General Amount
$362
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cook Medical LLC | $345 |
| Smith+Nephew, Inc. | $17 |
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: 2016-09-29
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 |
|---|---|---|---|---|
| I20160929000714 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 95117 | Professional service for multiple injections of allergen | 178 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 136 | 102 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 123 | 123 | $0 |
| 69210 | Removal of impacted ear wax | 117 | 80 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 60 | 56 | $0 |
Insurance plans in this area (ZIP 46250)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiac Electrophysiology | NV | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Geriatric Medicine | IN | |
| Family Practice | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN |
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