JENNY S PATERYN (P.A.-C) – Medical Physician Assistant, NPI 1891780789
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JENNY S PATERYN (P.A.-C)
Northwestern Highway, Southfield, Oakland County, Michigan, 48235, United States
# 302
SOUTHFIELD, MI 480341053
Phone: (734) 936-2047
Type: Mailing
Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States
2ND FLOOR TAUBMAN CENTER RECP F
ANN ARBOR, MI 481095332
Phone: (734) 936-5738
Fax: (734) 936-6927
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 118 Open Payments records for all available years, with a total value of $2,597.
Total Amount is formed as General ($2,597) + Research ($0) + Ownership ($0) = $2,597.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Janssen Biotech, Inc. ($436).
Total Amount
$2,597
General + Research + Ownership
Payments
118
Total payment records
General Amount
$2,597
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $436 |
| PFIZER INC. | $229 |
| E.R. Squibb & Sons, L.L.C. | $203 |
| Incyte Corporation | $172 |
| ABBVIE INC. | $157 |
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: 2004-07-09
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 |
|---|---|---|---|---|
| I20040709001376 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 191 | 119 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 102 | 91 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 95 | 23 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 62 | 57 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 61 | 47 | $0 |
Insurance plans in this area (ZIP 48034)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 11101 | Biopsy of each additional growth of skin and/or tissue | 37 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| - | MI | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI |
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