JESSICA ANN THOMES PEPIN (M.D.) – Gynecologic Oncology Physician, NPI 1013159029

JESSICA ANN THOMES PEPIN (M.D.) is a healthcare provider. based in Woodbury, Minnesota. specializing in OBSTETRICS/GYNECOLOGY, GYNECOLOGICAL ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 61218 (MN). The NPI Number for JESSICA ANN THOMES PEPIN (M.D.) is 1013159029

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA ANN THOMES PEPIN (M.D.)
NPI
1013159029
Phone
(651) 735-7414
Address
6025 LAKE RD STE 110
Enumeration Date
6 April 2009
Last Update Date
25 June 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7155316800
Graduation Year
2009 (17 years ago)
PAC ID
4486829504
Group Practice PAC ID
6709799752
Professional Enrollment ID
I20240603001539
Address ID
WI540169919HU2651XDRXX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

822 OBSTETRICS/GYNECOLOGY in MN

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Provider Addresses for JESSICA ANN THOMES PEPIN (M.D.)

  • Lake Road, Carver Lake Meadows, Woodbury, Washington County, Minnesota, 55125, United States

    WOODBURY, MN 55125

    Phone: (651) 735-7414

    Fax: (651) 735-1827

    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 2 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2023-03-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($53).

Total Amount

$89

General + Research + Ownership

Payments

2

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161123001920IGynecological OncologyMNTBD
I20240603001539IGynecological OncologyWITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,82515$0
86304Immunologic analysis for detection of tumor antigen, quantitative; ca 12511348$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count10937$0
80053Blood test, comprehensive group of blood chemicals9834$0
99213Established patient office or other outpatient visit, 20-29 minutes9758$0
View full utilization report →

Insurance plans in this area (ZIP 55125)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709799752View full group profile
NameSpecialtyState
Nurse PractitionerMN
Nurse PractitionerMN
Physician AssistantMN
Physician AssistantTX
Nurse PractitionerMN
-MN
Medical OncologyMN
Colorectal Surgery (Proctology), General SurgeryMN
Physician AssistantMN
Physician AssistantMN

Reviews

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Frequently asked questions

How do payers reference JESSICA ANN THOMES PEPIN (M.D.)?
For JESSICA ANN THOMES PEPIN (M.D.), use NPI 1013159029 as the unique 10-digit identifier.
Is JESSICA ANN THOMES PEPIN (M.D.) still an active registrant?
JESSICA ANN THOMES PEPIN (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to JESSICA ANN THOMES PEPIN (M.D.)?
JESSICA ANN THOMES PEPIN (M.D.)'s specialty line reads Gynecologic Oncology Physician. Clinical services aligned with this taxonomy classification.
Where in Minnesota is JESSICA ANN THOMES PEPIN (M.D.) registered?
Use Woodbury, Minnesota as the headline location for JESSICA ANN THOMES PEPIN (M.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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