DR. JACQUELINE GREB GOLDMINZ (MD) – Dermatology Physician, NPI 1215466719
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
Provider Addresses for DR. JACQUELINE GREB GOLDMINZ (MD)
75 Francis St
Boston, MA 021156110
Phone: (617) 732-5500
Type: Location
15 GREENWICH PARK
BOSTON, MA 021183003
Phone: (781) 248-6837
Fax: (781) 369-9737
Type: Mailing
20 WILLIAM ST STE G15
WELLESLEY, MA 024814102
Phone: (781) 591-4234
Fax: (781) 369-9737
Type: Location
Brigham and Women's Hospital, 75, Francis Street, Roxbury, Boston, Suffolk County, Massachusetts, 02115, United States
BOSTON, MA 021156110
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $429.
Total Amount is formed as General ($429) + Research ($0) + Ownership ($0) = $429.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($178).
Total Amount
$429
General + Research + Ownership
Payments
16
Total payment records
General Amount
$429
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $178 |
| Galderma Laboratories, L.P. | $101 |
| ABBVIE INC. | $82 |
| Regeneron Healthcare Solutions, Inc. | $32 |
| E.R. Squibb & Sons, L.L.C. | $19 |
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: 2021-07-21
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 |
|---|---|---|---|---|
| I20210721002114 | I | Dermatology | MA | 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 | 185 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 91 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 78 | 61 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 67 | 58 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 36 | $0 |
Insurance plans in this area (ZIP 02115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| D E R M A T O L O G Y | MA | |
| Nurse Practitioner | MA | |
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | PA | |
| O P H T H A L M O L O G Y | MA |
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