JESSICA NIEWODOWSKI (DO) – Trauma Surgery Physician, NPI 1093048530
Trauma Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,999 GENERAL SURGERY in PA
Provider Addresses for JESSICA NIEWODOWSKI (DO)
620 Howard Ave
Altoona, PA 166014804
Phone: (814) 889-6157
Type: Location
185 QUEEN CITY AVE
MANCHESTER, NH 031017121
Phone: (603) 627-1102
Type: Mailing
Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States
EVERETT, WA 982065127
Phone: (425) 261-2000
Type: Mailing
1321, Colby Avenue, Northwest Everett, Everett, Snohomish County, Washington, 98201, United States
EVERETT, WA 982011665
Phone: (425) 261-2000
Fax: (425) 261-2000
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: 2022-09-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20101112001083 | I | General Surgery | PA | TBD |
| I20220928002896 | I | General Surgery | NH | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 20 | 16 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 16601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NH | |
| Nurse Practitioner | NH | |
| - | NH | |
| P S Y C H I A T R Y | MA | |
| Orthopedic Surgery | NH | |
| Hospitalist, Internal Medicine, Pediatric Medicine | MI | |
| P S Y C H I A T R Y | NH | |
| - | NH | |
| - | NH | |
| Vascular Surgery | MA |
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