JESSICA A HEALY (M.D.) – Dermatology Physician, NPI 1104046820
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
Provider Addresses for JESSICA A HEALY (M.D.)
3316 W 66TH ST
STE 200
EDINA, MN 554352544
Phone: (952) 303-8600
Fax: (952) 920-8899
Type: Mailing
3555 WILLOW LAKE BLVD
SUITE 240
SAINT PAUL, MN 551105131
Phone: (651) 770-0110
Fax: (651) 770-0134
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $451.
Total Amount is formed as General ($451) + Research ($0) + Ownership ($0) = $451.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Incyte Corporation ($52).
Total Amount
$451
General + Research + Ownership
Payments
27
Total payment records
General Amount
$451
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-06-21
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 |
|---|---|---|---|---|
| I20070621000106 | I | Dermatology | MN | 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 | 317 | 247 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 221 | 89 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 166 | 136 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 164 | 144 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 120 | 103 | $0 |
Insurance plans in this area (ZIP 55435)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MN | 17003 | Destruction of 2-14 skin growths | 133 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds) | PA | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| P A T H O L O G Y | MN | |
| - | MN | |
| D E R M A T O L O G Y | MN | |
| - | MN | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN |
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