JESSICA SCRUGGS DORSEY (MD) – MOHS-Micrographic Surgery Physician, NPI 1366602690

JESSICA SCRUGGS DORSEY (MD) is a healthcare provider. based in Cedar park, Texas. specializing in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold the professional credentials MD. They hold a License No. 0435749 (KS). The NPI Number for JESSICA SCRUGGS DORSEY (MD) is 1366602690

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA SCRUGGS DORSEY (MD)
NPI
1366602690
Phone
(512) 260-5860
Address
1401 MEDICAL PKWY
Enumeration Date
10 June 2008
Last Update Date
3 June 2025

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9035346200
Graduation Year
2008 (18 years ago)
PAC ID
2961658745
Group Practice PAC ID
0042464125
Professional Enrollment ID
I20130819000336
Address ID
TX757031013TY1367XPLZX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:17State licenses:3Digital endpointsOther names

100 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in TX

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Provider Addresses for JESSICA SCRUGGS DORSEY (MD)

  • Cedar Park Medical Center, 1401, Medical Parkway, 1890 Ranch, Cedar Park, Williamson County, Texas, 78613, United States

    BUILDING B, SUITE 300

    CEDAR PARK, TX 786137763

    Phone: (512) 260-5860

    Fax: (512) 260-5859

    Type: Location

  • 1515 MEDICAL PKWY STE 100

    CEDAR PARK, TX 786132776

    Phone: (512) 260-5860

    Fax: (512) 260-5859

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 149 Open Payments records for all available years, with a total value of $3,626.

Total Amount is formed as General ($3,626) + Research ($0) + Ownership ($0) = $3,626.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($800).

Total Amount

$3,626

General + Research + Ownership

Payments

149

Total payment records

General Amount

$3,626

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-08-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130819000336IMicrographic Dermatologic Surgery (Mds)TXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks174153$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks7657$0
17003Destruction of precancer skin growth, 2-14 growths4411$0
99213Established patient office or other outpatient visit, 20-29 minutes4140$0
99212Established patient office or other outpatient visit, 10-19 minutes3931$0
View full utilization report →

Insurance plans in this area (ZIP 78613)

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Provider's Procedures

JESSICA SCRUGGS DORSEY (MD) performs procedures in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYTX13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet120110
DERMATOLOGYTX14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips2827

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042464125View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
Physician AssistantTX
D E R M A T O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
Physician AssistantTX

Reviews

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Frequently asked questions

Can I cross-check JESSICA SCRUGGS DORSEY (MD) using NPI 1366602690?
NPI 1366602690 belongs to JESSICA SCRUGGS DORSEY (MD); compare other details if you need extra assurance.
Would JESSICA SCRUGGS DORSEY (MD) appear as active to a payer?
You can treat JESSICA SCRUGGS DORSEY (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JESSICA SCRUGGS DORSEY (MD)?
JESSICA SCRUGGS DORSEY (MD) is associated with MOHS-Micrographic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JESSICA SCRUGGS DORSEY (MD)?
Travel planning: use Cedar Park, Texas as the reference point for JESSICA SCRUGGS DORSEY (MD), then confirm.
Can I trust this NPI listing for JESSICA SCRUGGS DORSEY (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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