JESSICA A VANDERSCOFF (MD) – Family Medicine Physician, NPI 1144278755
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,076 FAMILY PRACTICE in MN
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Provider Addresses for JESSICA A VANDERSCOFF (MD)
8372, 153rd Place, Savage, Scott County, Minnesota, 55378, United States
SAVAGE, MN 553782388
Phone:
Type: Mailing
4151, Willowwood Street Southeast, Prior Lake, Scott County, Minnesota, 55372, United States
PRIOR LAKE, MN 553724304
Phone: (952) 226-2600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-07-13
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 |
|---|---|---|---|---|
| I20050713000728 | I | Family Practice | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 180 | 89 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 118 | 83 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 106 | 72 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 94 | 73 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 90 | 64 | $0 |
Insurance plans in this area (ZIP 55378)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MN | 90670 | Pneumococcal vaccine for injection into muscle | 16 | 16 |
Group practice members
| Name | Specialty | State |
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| - | MN | |
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| - | MN | |
| Family Practice | MN | |
| Family Practice | IL | |
| - | MN | |
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