DOMENICO JR. COLLETTI (PA) – Medical Physician Assistant, NPI 1851805741
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,606 PHYSICIAN ASSISTANT in NJ
Provider Addresses for DOMENICO JR. COLLETTI (PA)
2099, New Albany Road, Moorestown, Cinnaminson Township, Burlington County, New Jersey, 08077, United States
CINNAMINSON, NJ 080773534
Phone: (609) 926-8899
Fax: (856) 772-1997
Type: Mailing
175 GUNNING RIVER RD BLDG E
BARNEGAT, NJ 080051436
Phone: (609) 926-8899
Fax: (609) 660-8052
Type: Location
New Road, Linwood Greene, Steelmanville, Linwood, Atlantic County, New Jersey, 08221, United States
LINWOOD, NJ 082211050
Phone: (609) 926-8899
Fax: (856) 772-1997
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 235 Open Payments records for all available years, with a total value of $3,368.
Total Amount is formed as General ($3,368) + Research ($0) + Ownership ($0) = $3,368.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($726).
Total Amount
$3,368
General + Research + Ownership
Payments
235
Total payment records
General Amount
$3,368
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $726 |
| ABBVIE INC. | $674 |
| LEO Pharma Inc. | $325 |
| Lilly USA, LLC | $275 |
| Dermavant Sciences, Inc. | $193 |
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: 2018-01-17
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20180117000462 | I | Physician Assistant | NJ | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 974 | 660 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 514 | 120 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 302 | 246 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 265 | 208 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 243 | 213 | $0 |
Insurance plans in this area (ZIP 08077)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| - | SC | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | PA | |
| Physician Assistant | NJ | |
| Nurse Practitioner | NJ |
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