JEANNIE KHAVKIN (M.D.) – Otolaryngology Physician, NPI 1144470048
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JEANNIE KHAVKIN (M.D.)
308, North Town Center Drive, Summerlin, Las Vegas, Clark County, Nevada, 89144, United States
LAS VEGAS, NV 891440517
Phone: (702) 242-3223
Fax: (702) 270-3224
Type: Location
653, North Town Center Drive, The Canyons, Summerlin, Las Vegas, Clark County, Nevada, 89144, United States
STE 602
LAS VEGAS, NV 891440520
Phone: (702) 888-1188
Fax: (702) 673-1155
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $18,799.
Total Amount is formed as General ($18,799) + Research ($0) + Ownership ($0) = $18,799.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($18,314).
Total Amount
$18,799
General + Research + Ownership
Payments
20
Total payment records
General Amount
$18,799
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $18,314 |
| ABBVIE INC. | $312 |
| PAINTEQ LLC | $153 |
| Bioventus LLC | $19 |
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: 2010-11-13
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 |
|---|---|---|---|---|
| I20101113000154 | I | Otolaryngology | NV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89144)
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