JENNIFER K TAN (M.D.) – Dermatology Physician, NPI 1427253095
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
Provider Addresses for JENNIFER K TAN (M.D.)
300 LONGWOOD AVE
BOSTON, MA 021155724
Phone: (617) 355-6000
Type: Location
50 STANIFORD ST STE 200
BOSTON, MA 021142543
Phone: (617) 724-8163
Type: Mailing
73 HIGH ST
CHARLESTOWN, MA 021293026
Phone: (617) 724-8163
Type: Location
121, Trailwood Lane, Coppell, Dallas County, Texas, 75019, United States
COPPELL, TX 750195351
Phone: (973) 222-1029
Type: Mailing
North Tarrant Parkway, Fort Worth, Tarrant County, Texas, 76137, United States
FORT WORTH, TX 762445387
Phone: (817) 427-3376
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $247.
Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.
Last reported payment date: 2023-07-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($61).
Total Amount
$247
General + Research + Ownership
Payments
14
Total payment records
General Amount
$247
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-05-18
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 |
|---|---|---|---|---|
| I20110518000723 | 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 | 222 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 98 | 77 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 84 | 74 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 77 | 67 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 45 | 29 | $0 |
Insurance plans in this area (ZIP 02115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MA | |
| O P T O M E T R Y | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| - | MA | |
| Internal Medicine | MA | |
| Clinical Social Worker | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA |
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