JESSICA PORCELAN (MD) – Psychiatry Physician, NPI 1053869735
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,244 PSYCHIATRY in OH
Provider Addresses for JESSICA PORCELAN (MD)
601, South Edwin C. Moses Boulevard, Dayton, Montgomery County, Ohio, 45402, United States
DAYTON, OH 454173424
Phone: (937) 734-8333
Type: Mailing
2611 Wayne Ave
Dayton, OH 454201833
Phone: (937) 367-2146
Type: Location
113 LIELMANIS AVE
HURLBURT FIELD, FL 325445613
Phone: (850) 881-4237
Type: Location
4881 SUGAR MAPLE DR
WPAFB, OH 454335529
Phone: (937) 257-6877
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: 2021-12-01
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 |
|---|---|---|---|---|
| I20211201002949 | I | Psychiatry | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 12 | $0 |
Insurance plans in this area (ZIP 45417)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Mental Health Counselor | OH | |
| - | OH | |
| P S Y C H I A T R Y | OH | |
| P S Y C H I A T R Y | OH | |
| Nurse Practitioner | OH | |
| P S Y C H I A T R Y | OH | |
| Nurse Practitioner | OH |
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