ERICK SAMUEL JACOBSON-DUNLOP (MD) – Dermatopathology (Pathology) Physician, NPI 1538301973
Dermatopathology (Pathology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
518 PATHOLOGY in MN
Provider Addresses for ERICK SAMUEL JACOBSON-DUNLOP (MD)
9900 13th Avenue North
Suite 2-A
Plymouth, MN 554415035
Phone: (763) 525-0363
Fax: (763) 525-0369
Type: Location
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 554254516
Phone:
Type: Mailing
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 554162527
Phone: (952) 993-3123
Type: Location
13th Avenue North, Plymouth, Hennepin County, Minnesota, 55441, United States of America
SUITE 2-A
PLYMOUTH, MN 554415035
Phone: (763) 525-0363
Fax: (763) 525-0369
Type: Mailing
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: 2014-06-11
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 |
|---|---|---|---|---|
| I20140611002095 | I | Pathology | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2,477 | 1,606 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 106 | 62 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 96 | 90 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 74 | 66 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 60 | 56 | $0 |
Insurance plans in this area (ZIP 55441)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Family Practice | MN | |
| - | MN | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | MN | |
| Cardiac Electrophysiology | MN | |
| Family Practice | MN | |
| Physician Assistant | MN | |
| Physical Therapist In Private Practice | MN | |
| Physician Assistant | MN | |
| D E R M A T O L O G Y | MN |
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