JENNIFER K PECK (PA-C) – Surgical Physician Assistant, NPI 1154407757
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
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Provider Addresses for JENNIFER K PECK (PA-C)
3401, Enterprise Parkway, Beachwood, Cuyahoga County, Ohio, 44122, United States
SUITE 300
BEACHWOOD, OH 441227341
Phone: (216) 831-5700
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $496.
Total Amount is formed as General ($496) + Research ($0) + Ownership ($0) = $496.
Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Dutch Ophthalmic, USA ($303).
Total Amount
$496
General + Research + Ownership
Payments
11
Total payment records
General Amount
$496
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-22
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-01-11
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 |
|---|---|---|---|---|
| I20070111000139 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 28 | 27 | $0 |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 14 | 12 | $0 |
Insurance plans in this area (ZIP 44122)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | OH | |
| Physician Assistant | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH |
Reviews
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