JENNA LEIGH DISMORE WRINKLES (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1780909952
Pain Medicine (Anesthesiology) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
138 PAIN MANAGEMENT in KY
Provider Addresses for JENNA LEIGH DISMORE WRINKLES (M.D.)
PO BOX 21890
BELFAST, ME 049154115
Phone: (502) 907-0356
Fax: (502) 919-9780
Type: Mailing
1107 CROWN POINTE DR STE 107
ELIZABETHTOWN, KY 427017280
Phone: (270) 506-3300
Fax: (270) 506-2843
Type: Location
3602 Northgate Ct Ste 39
New Albany, IN 471506417
Phone: (812) 670-5684
Fax: (812) 941-0814
Type: Location
120 Executive Park
Louisville, KY 402074201
Phone: (502) 855-7200
Fax: (502) 855-7201
Type: Location
120 EXECUTIVE PARK
LOUISVILLE, KY 402074201
Phone: (502) 409-9925
Fax: (502) 919-9780
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $1,970.
Total Amount is formed as General ($1,970) + Research ($0) + Ownership ($0) = $1,970.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Boston Scientific Corporation ($1,037).
Total Amount
$1,970
General + Research + Ownership
Payments
50
Total payment records
General Amount
$1,970
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,037 |
| Abbott Laboratories | $529 |
| ABBVIE INC. | $242 |
| SPR Therapeutics, Inc | $85 |
| Stryker Corporation | $33 |
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: 2015-09-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20150910002736 | I | Pain Management | KY | TBD |
| I20150915001251 | I | Pain Management | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 5,052 | 225 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2,706 | 246 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,186 | 212 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 858 | 706 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 848 | 698 | $0 |
Insurance plans in this area (ZIP 04915)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Anesthesiology, Pain Management | TN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | SC | |
| Nurse Practitioner | KY | |
| Pain Management | IN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| - | KY |
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