DR. JACQUELINE ANN EVANS (DO) – Gynecologic Oncology Physician, NPI 1851378871
Gynecologic Oncology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,146 OBSTETRICS/GYNECOLOGY in PA
Provider Addresses for DR. JACQUELINE ANN EVANS (DO)
694 Good Dr Ste 205
Lancaster, PA 176012433
Phone: (717) 544-3190
Fax: (717) 544-3189
Type: Location
South 2nd Street, Harrisburg, Dauphin County, Pennsylvania, 17122, United States
HARRISBURG, PA 171041612
Phone: (717) 874-4297
Fax: (717) 874-4298
Type: Mailing
Noll Drive, Chestnut View, Rohrerstown, Lancaster County, Pennsylvania, 17603, United States
LANCASTER, PA 17603
Phone: (717) 874-4297
Fax: (717) 874-4298
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $172.
Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($85).
Total Amount
$172
General + Research + Ownership
Payments
6
Total payment records
General Amount
$172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $85 |
| GlaxoSmithKline, LLC. | $72 |
| Myriad Genetic Laboratories, Inc. | $14 |
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: 2010-04-22
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 |
|---|---|---|---|---|
| I20100422001062 | I | Gynecological Oncology | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 144 | 74 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 105 | 94 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 17601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GYNECOLOGICAL ONCOLOGY | PA | 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 120 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Family Practice | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | TN | |
| Hospitalist, Internal Medicine | PA | |
| Internal Medicine | PA |
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