JESSICA LEE BAHROS (PAC) – Physician Assistant, NPI 1992806772
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
Provider Addresses for JESSICA LEE BAHROS (PAC)
40 Industrial Park Rd Ste 202
Plymouth, MA 023604884
Phone: (617) 472-6764
Fax: (617) 770-9933
Type: Location
1, Scobee Circle, Plymouth Mobile Estates, Plymouth, Plymouth County, Massachusetts, 02364-2249, United States
PLYMOUTH, MA 023604887
Phone: (508) 747-0711
Fax: (508) 746-9265
Type: Location
104 QUARRY ST STE 2
QUINCY, MA 021694174
Phone: (617) 472-6764
Fax: (617) 770-9933
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 521 Open Payments records for all available years, with a total value of $10,713.
Total Amount is formed as General ($10,713) + Research ($0) + Ownership ($0) = $10,713.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($2,438).
Total Amount
$10,713
General + Research + Ownership
Payments
521
Total payment records
General Amount
$10,713
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $2,438 |
| Janssen Biotech, Inc. | $1,313 |
| E.R. Squibb & Sons, L.L.C. | $880 |
| UCB, Inc. | $717 |
| Incyte Corporation | $569 |
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: 2005-01-19
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 |
|---|---|---|---|---|
| I20050119000686 | I | Physician Assistant | 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 | 1,755 | 265 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 827 | 586 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 454 | 342 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 347 | 219 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 149 | 111 | $0 |
Insurance plans in this area (ZIP 02360)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| 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 | |
| Physician Assistant | MA | |
| Physician Assistant | MA |
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