DR. JARED BRACKENRICH (D.O.) – Dermatology Physician, NPI 1518498039
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
471 DERMATOLOGY in VA
Provider Addresses for DR. JARED BRACKENRICH (D.O.)
200 HORSESHOE FARM RD
PEMBROKE, VA 241363480
Phone: (540) 808-6645
Type: Mailing
3706 S MAIN ST
BLACKSBURG, VA 240607006
Phone: (540) 951-3376
Fax: (540) 951-1276
Type: Location
LewisGale Hospital Montgomery, 3700, South Main Street, Myers Acres, Blacksburg, Montgomery County, Virginia, 24060, United States
BLACKSBURG, VA 240607017
Phone: (540) 951-1111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 273 Open Payments records for all available years, with a total value of $6,894.
Total Amount is formed as General ($6,894) + Research ($0) + Ownership ($0) = $6,894.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($1,406).
Total Amount
$6,894
General + Research + Ownership
Payments
273
Total payment records
General Amount
$6,894
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,406 |
| Janssen Biotech, Inc. | $1,117 |
| Incyte Corporation | $664 |
| E.R. Squibb & Sons, L.L.C. | $376 |
| Amgen Inc. | $354 |
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: 2021-07-15
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 |
|---|---|---|---|---|
| I20210715000102 | I | Dermatology | VA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,610 | 452 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,004 | 764 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 719 | 589 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 413 | 374 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 283 | 223 | $0 |
Insurance plans in this area (ZIP 24136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | VA | |
| Nurse Practitioner | VA | |
| D E R M A T O L O G Y | VA | |
| Physician Assistant | VA | |
| Physician Assistant | VA | |
| Physician Assistant | TN | |
| D E R M A T O L O G Y | WV | |
| D E R M A T O L O G Y | VA | |
| D E R M A T O L O G Y | VA | |
| Physician Assistant | VA |
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