JENIFER ABBOTT (PA-C) – Physician Assistant, NPI 1225136161
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 PHYSICIAN ASSISTANT in MD
Provider Addresses for JENIFER ABBOTT (PA-C)
510 Upper Chesapeake Dr Pavillion III Suite 415
Bel Air, MD 210144336
Phone: (410) 939-0961
Fax: (443) 787-4389
Type: Location
1115 S Main St
Bel Air, MD 210145460
Phone: (410) 879-7404
Fax: (410) 879-0283
Type: Location
615 W MacPhail Rd
Bel Air, MD 210144309
Phone: (410) 939-0961
Fax: (443) 787-4389
Type: Location
Tideway Dermatology, 930, Revolution Street, Havre de Grace, Harford County, Maryland, 21078, United States
HAVRE DE GRACE, MD 210783718
Phone: (410) 939-0961
Fax: (410) 939-7832
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 177 Open Payments records for all available years, with a total value of $4,314.
Total Amount is formed as General ($4,314) + Research ($0) + Ownership ($0) = $4,314.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Janssen Biotech, Inc. ($756).
Total Amount
$4,314
General + Research + Ownership
Payments
177
Total payment records
General Amount
$4,314
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $756 |
| Dermavant Sciences, Inc. | $715 |
| ABBVIE INC. | $591 |
| Novartis Pharmaceuticals Corporation | $566 |
| Regeneron Healthcare Solutions, Inc. | $371 |
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: 2006-12-07
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 |
|---|---|---|---|---|
| I20061207000402 | I | Physician Assistant | MD | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,225 | 289 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 779 | 653 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 504 | 413 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 287 | 249 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 236 | 197 | $0 |
Insurance plans in this area (ZIP 21014)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | NY | |
| Physician Assistant | DC | |
| Physician Assistant | MD | |
| - | VA | |
| - | MD | |
| D E R M A T O L O G Y | MD | |
| Physician Assistant | MD | |
| Nurse Practitioner | VA | |
| - | MD | |
| D E R M A T O L O G Y | MD |
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