DR. JACK BRYANT ANON (M.D.) – Otolaryngic Allergy Physician, NPI 1104877265
Otolaryngic Allergy Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
641 OTOLARYNGOLOGY in PA
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Provider Addresses for DR. JACK BRYANT ANON (M.D.)
Shriners Hospitals for Children, 1645, West 8th Street, Frontier, Erie, Erie County, Pennsylvania, 16505, United States
ERIE, PA 165055007
Phone: (814) 864-9994
Fax: (814) 866-2655
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 12 Open Payments records for all available years, with a total value of $296.
Total Amount is formed as General ($296) + Research ($0) + Ownership ($0) = $296.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: GENZYME CORPORATION ($85).
Total Amount
$296
General + Research + Ownership
Payments
12
Total payment records
General Amount
$296
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $85 |
| Regeneron Healthcare Solutions, Inc. | $64 |
| Medtronic, Inc. | $46 |
| Smith+Nephew, Inc. | $35 |
| Merck Sharp & Dohme LLC | $28 |
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: 2011-03-08
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 |
|---|---|---|---|---|
| I20110308000877 | I | Otolaryngology | PA | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 755 | 43 | $0 |
| 95117 | Professional service for multiple injections of allergen | 609 | 116 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 165 | 143 | $0 |
| 95115 | Professional service for single injection of allergen | 108 | 29 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 108 | 79 | $0 |
Insurance plans in this area (ZIP 16505)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | OH | |
| O T O L A R Y N G O L O G Y | PA | |
| Qualified Audiologist | PA | |
| Nurse Practitioner | PA | |
| O T O L A R Y N G O L O G Y | PA | |
| O T O L A R Y N G O L O G Y | PA | |
| Qualified Audiologist | PA | |
| O T O L A R Y N G O L O G Y | PA |
Reviews
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