DR. NATHANIEL JOSEF JELLINEK (MD) – MOHS-Micrographic Surgery Physician, NPI 1245256528
MOHS-Micrographic Surgery Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
Provider Addresses for DR. NATHANIEL JOSEF JELLINEK (MD)
29 Cottage St Ste B
Amherst, MA 010022178
Phone: (413) 549-7400
Fax: (413) 549-7402
Type: Location
153 E Washington St
North Attleboro, MA 027602312
Phone: (508) 699-7546
Fax: (508) 699-7570
Type: Location
1672 S COUNTY TRL STE 101
EAST GREENWICH, RI 028185099
Phone: (404) 885-6647
Fax: (401) 885-6639
Type: Mailing
1672, South County Trail, Frys Corner, East Greenwich, Kent County, Rhode Island, 02818, United States
SUITE 101
EAST GREENWICH, RI 028185098
Phone: (404) 885-6647
Fax: (401) 885-6639
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2005-06-06
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 |
|---|---|---|---|---|
| I20040719000291 | I | Dermatology | MA | TBD |
| I20050606000103 | I | Dermatology | RI | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 480 | 367 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 304 | 194 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 209 | 187 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 171 | 117 | $0 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 120 | 114 | $0 |
Insurance plans in this area (ZIP 01002)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | RI | 11101 | Biopsy of each additional growth of skin and/or tissue | 26 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | 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 | MA |
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