JESSICA MORMANDO (DO) – Surgery Physician, NPI 1104288042
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 MORMANDO (DO)
4190 City Avenue
Philadelphia, PA 19131
Phone: (215) 871-6690
Type: Location
Rowland Hall, 4190, City Avenue, Pencoyd, Philadelphia, Philadelphia County, Pennsylvania, 19131, United States
PHILADELPHIA, PA 19131
Phone:
Type: Mailing
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone: (615) 875-8618
Fax: (615) 322-5048
Type: Mailing
647 DUNLOP LN STE 203
CLARKSVILLE, TN 370405165
Phone: (931) 502-3700
Fax: (931) 502-3705
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $22,799.
Total Amount is formed as General ($22,799) + Research ($0) + Ownership ($0) = $22,799.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($22,172).
Total Amount
$22,799
General + Research + Ownership
Payments
59
Total payment records
General Amount
$22,799
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $22,172 |
| Ossur Americas, Inc. | $81 |
| Stryker Corporation | $77 |
| Becton, Dickinson and Company | $52 |
| Lexington Medical, Inc. | $52 |
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: 2022-08-24
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 |
|---|---|---|---|---|
| I20220824003603 | I | General Surgery | TN | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 34 | 34 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 33 | 16 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 26 | 26 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 20 | 16 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 13 | $0 |
Insurance plans in this area (ZIP 19131)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | TN | |
| General Surgery | GA | |
| Physician Assistant | TN | |
| Nurse Practitioner | TN | |
| Vascular Surgery, General Surgery | TN | |
| Physician Assistant | TN | |
| General Surgery | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Internal Medicine | TN |
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