JESSEN THOMAS (DO) – Family Medicine Physician, NPI 1164091088

JESSEN THOMAS (DO) is a healthcare provider. based in South yarmouth, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 1021043 (MA). The NPI Number for JESSEN THOMAS (DO) is 1164091088

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JESSEN THOMAS (DO)
NPI
1164091088
Phone
(774) 552-3208
Address
495 STATION AVE
Enumeration Date
24 June 2021
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083854212
Graduation Year
2020 (6 years ago)
PAC ID
9133641558
Group Practice PAC ID
3577470442
Professional Enrollment ID
I20250314001912
Address ID
MA026602577SO860XX134X303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,900 FAMILY PRACTICE in MA

Provider Addresses for JESSEN THOMAS (DO)

  • 495 STATION AVE

    SOUTH YARMOUTH, MA 026641218

    Phone: (774) 552-3208

    Type: Mailing

  • 600 MCCLELLAN ST

    SCHENECTADY, NY 123041009

    Phone: (518) 243-4000

    Type: Mailing

  • 624 MCCLELLAN ST STE 101

    SCHENECTADY, NY 123041020

    Phone: (518) 382-2260

    Fax: (518) 347-5007

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

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

CompanyAmount
Novo Nordisk Inc$32
View all Open Payments →|Open Payments Risk Radar →

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: 2025-03-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250314001912IFamily PracticeMATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02664)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577470442View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is JESSEN THOMAS (DO)'s NPI number?
JESSEN THOMAS (DO)'s NPI is 1164091088 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to JESSEN THOMAS (DO)?
You should see JESSEN THOMAS (DO) as active in CMS-hosted NPPES data.
How would a patient describe JESSEN THOMAS (DO)'s focus?
For JESSEN THOMAS (DO), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is JESSEN THOMAS (DO) registered?
Use South Yarmouth, Massachusetts as the headline location for JESSEN THOMAS (DO) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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