MS. JENNIFER CHRISTINE MODESTO (B.S., PA-C) – Physician Assistant, NPI 1750483244
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
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Provider Addresses for MS. JENNIFER CHRISTINE MODESTO (B.S., PA-C)
33301, Woodward Avenue, Birmingham, Oakland County, Michigan, 48009, United States
BIRMINGHAM, MI 480090905
Phone: (248) 642-9111
Type: Mailing
7960 N WICKHAM RD STE 103
MELBOURNE, FL 329408096
Phone: (321) 428-4737
Fax: (321) 241-6457
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 72 Open Payments records for all available years, with a total value of $1,741.
Total Amount is formed as General ($1,741) + Research ($0) + Ownership ($0) = $1,741.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($384).
Total Amount
$1,741
General + Research + Ownership
Payments
72
Total payment records
General Amount
$1,741
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $384 |
| GENZYME CORPORATION | $306 |
| E.R. Squibb & Sons, L.L.C. | $221 |
| Janssen Biotech, Inc. | $165 |
| Novartis Pharmaceuticals Corporation | $155 |
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: 2006-12-15
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 |
|---|---|---|---|---|
| I20061215000467 | I | Physician Assistant | MI | 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 | 601 | 432 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 564 | 141 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 305 | 219 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 294 | 237 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 214 | 171 | $0 |
Insurance plans in this area (ZIP 48009)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MI |
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