DR. JENNIFER EMILY DICK (MD) – Dermatology Physician, NPI 1508805631
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
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Provider Addresses for DR. JENNIFER EMILY DICK (MD)
2929, Drew Avenue South, Bde Maka Ska-Isles, Minneapolis, Hennepin County, Minnesota, 55416, United States
MINNEAPOLIS, MN 554164210
Phone: (612) 239-6882
Type: Mailing
West 66th Street, Southdale, Edina, Hennepin County, Minnesota, 55439, United States
SUITE 200
EDINA, MN 554352506
Phone: (952) 920-3808
Fax: (952) 920-8899
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $63.
Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.
Last reported payment date: 2024-01-26 • Largest payer in this snapshot: ABBVIE INC. ($19).
Total Amount
$63
General + Research + Ownership
Payments
4
Total payment records
General Amount
$63
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $19 |
| Galderma Laboratories, L.P. | $16 |
| Biofrontera Inc. | $15 |
| Helsinn Therapeutics (U.S.), Inc. | $13 |
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: 2006-07-28
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 |
|---|---|---|---|---|
| I20060728000328 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 605 | 93 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 450 | 285 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 248 | 155 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 127 | 100 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 105 | 89 | $0 |
Insurance plans in this area (ZIP 55416)
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Group practice members
- 1
- 2
| 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 | |
| D E R M A T O L O G Y | MN | |
| P A T H O L O G Y | MN | |
| - | 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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