JESSICA ZARAH SUGIANTO (MD) – Dermatopathology (Pathology) Physician, NPI 1437389277
Dermatopathology (Pathology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,394 PATHOLOGY in TX
Provider Addresses for JESSICA ZARAH SUGIANTO (MD)
1790 N STONEBRIDGE DR
MCKINNEY, TX 750717437
Phone: (972) 390-9002
Fax: (214) 491-3777
Type: Mailing
5213 VIRGINIA PKWY
MCKINNEY, TX 750715655
Phone: (972) 390-9002
Fax: (972) 767-4363
Type: Location
6655, North MacArthur Boulevard, Las Colinas, Irving, Dallas County, Texas, 75039, United States
IRVING, TX 750392443
Phone: (214) 277-8700
Fax: (214) 596-7484
Type: Location
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752840294
Phone: (888) 344-1160
Fax: (972) 331-3148
Type: Mailing
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: 2015-11-24
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 |
|---|---|---|---|---|
| I20151124001094 | I | Pathology | TX | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,817 | 1,173 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 355 | 292 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 218 | 111 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 156 | 119 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 54 | 51 | $0 |
Insurance plans in this area (ZIP 75071)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| P A T H O L O G Y | TX | |
| Physician Assistant | TX | |
| Family Practice | TX | |
| D E R M A T O L O G Y | NY | |
| Physician Assistant | TX | |
| - | TX | |
| Physician Assistant | TX |
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