DR. JENNIFER PAEK (MD) – Dermatology Physician, NPI 1457871139
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 DERMATOLOGY in WA
Provider Addresses for DR. JENNIFER PAEK (MD)
1400 E KINCAID ST
MOUNT VERNON, WA 982744127
Phone:
Type: Mailing
3823 172ND ST NE
ARLINGTON, WA 982237735
Phone: (360) 814-6810
Fax: (360) 814-6915
Type: Location
5225 Cirque Dr W Ste 200
University Place, WA 984673639
Phone: (253) 564-3365
Type: Location
1703 S Meridian Ste 101
Puyallup, WA 983717590
Phone: (253) 848-3000
Type: Location
Rhode Island Hospital, 593, Eddy Street, Downtown, Providence, Providence County, Rhode Island, 02903, United States
PROVIDENCE, RI 029034923
Phone: (401) 444-7139
Fax: (401) 444-7105
Type: Mailing
1703 S MERIDIAN STE 101
PUYALLUP, WA 983717590
Phone: (253) 848-3000
Type: Mailing
5225 CIRQUE DR W STE 200
UNIVERSITY PLACE, WA 984673639
Phone: (253) 564-3365
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 129 Open Payments records for all available years, with a total value of $4,239.
Total Amount is formed as General ($4,239) + Research ($0) + Ownership ($0) = $4,239.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($1,215).
Total Amount
$4,239
General + Research + Ownership
Payments
129
Total payment records
General Amount
$4,239
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,215 |
| Janssen Biotech, Inc. | $827 |
| UCB, Inc. | $360 |
| Amgen Inc. | $325 |
| PFIZER INC. | $309 |
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: 2025-05-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20210802000136 | I | Dermatology | WA | TBD |
| I20240924003194 | I | Dermatology | CO | TBD |
| I20250521002118 | I | Dermatology | NY | 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 | 793 | 175 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 504 | 442 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 333 | 290 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 289 | 236 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 237 | 181 | $0 |
Insurance plans in this area (ZIP 98274)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| D E R M A T O L O G Y | NY | |
| D E R M A T O L O G Y | NY | |
| - | NY | |
| Physician Assistant | NY | |
| - | NY | |
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | MD | |
| Nurse Practitioner | NY |
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