DR. JESSE LEE PACE (D.O.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1679779276
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
112 SPORTS MEDICINE in AL
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Provider Addresses for DR. JESSE LEE PACE (D.O.)
353, Bogle Street, Somerset, Pulaski County, Kentucky, 42503, United States
SUITE C
SOMERSET, KY 425032888
Phone: (606) 678-2220
Fax: (606) 678-2219
Type: Mailing
161, East University Drive, Windsor Forest, Auburn, Lee County, Alabama, 36832, United States
AUBURN, AL 368325889
Phone: (334) 826-2090
Fax: (334) 821-3191
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $4,155.
Total Amount is formed as General ($4,155) + Research ($0) + Ownership ($0) = $4,155.
Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Globus Medical, Inc. ($2,314).
Total Amount
$4,155
General + Research + Ownership
Payments
31
Total payment records
General Amount
$4,155
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Globus Medical, Inc. | $2,314 |
| Arthrex, Inc. | $1,720 |
| Legacy Ortho LLC | $120 |
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: 2010-09-13
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 |
|---|---|---|---|---|
| I20100913001044 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 255 | 149 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 252 | 68 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 138 | 69 | $0 |
| 73562 | X-ray of knee, 3 views | 83 | 70 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 53 | 53 | $0 |
Insurance plans in this area (ZIP 42503)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | AL | 20610 | Aspiration and/or injection of large joint or joint capsule | 36 | 25 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| General Surgery | CO | |
| U R O L O G Y | KY | |
| Internal Medicine | KY | |
| Physician Assistant | TN | |
| Physician Assistant | KY | |
| Interventional Pain Management | KY | |
| Internal Medicine | KY | |
| Physician Assistant | KY | |
| Endocrinology, Internal Medicine | KY | |
| Nurse Practitioner | KY |
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