JESSICA SCANLON (M.D.) – Dermatology Physician, NPI 1689833857
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
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Provider Addresses for JESSICA SCANLON (M.D.)
107;111, Cypress Street, Brookline Village Commercial District, Brookline, Norfolk County, Massachusetts, 02445-7638, United States
BROOKLINE, MA 024456002
Phone: (857) 307-0896
Type: Mailing
221 Longwood, 221, Longwood Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States
BOSTON, MA 021155804
Phone: (617) 732-4918
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $666.
Total Amount is formed as General ($666) + Research ($0) + Ownership ($0) = $666.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: ABBVIE INC. ($206).
Total Amount
$666
General + Research + Ownership
Payments
27
Total payment records
General Amount
$666
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $206 |
| Lilly USA, LLC | $97 |
| GENZYME CORPORATION | $87 |
| PFIZER INC. | $47 |
| Dermavant Sciences, Inc. | $39 |
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: 2012-10-17
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 |
|---|---|---|---|---|
| I20121017000268 | 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 | 1,266 | 224 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 821 | 563 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 392 | 294 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 293 | 229 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 288 | 238 | $0 |
Insurance plans in this area (ZIP 02445)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MA | 11101 | Biopsy of each additional growth of skin and/or tissue | 113 | 75 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| D E R M A T O L O G Y | MA |
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