JILL T KOOYOOMJIAN (NP) – Obstetrics & Gynecology Nurse Practitioner, NPI 1821240177
Obstetrics & Gynecology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,972 NURSE PRACTITIONER in MA
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Provider Addresses for JILL T KOOYOOMJIAN (NP)
Lahey Medical Center, Peabody, 1, Essex Center Drive, Northshore Mall, Proctor, Peabody, Essex County, Massachusetts, 01960, United States
LAHEY CLINIC
PEABODY, MA 01960
Phone: (781) 674-1587
Fax: (781) 674-1200
Mailing address matches the actual address.
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 $104.
Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.
Last reported payment date: 2023-09-12 • Largest payer in this snapshot: Astellas Pharma US Inc ($104).
Total Amount
$104
General + Research + Ownership
Payments
1
Total payment records
General Amount
$104
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $104 |
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: 2008-12-10
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 |
|---|---|---|---|---|
| I20081210000584 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 113 | 81 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 77 | 77 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 30 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 34 | 34 | $0 |
Insurance plans in this area (ZIP 01960)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| - | MA | |
| G A S T R O E N T E R O L O G Y | NY | |
| Physician Assistant | MA | |
| A N E S T H E S I O L O G Y | MA |
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