JACQUELINE B PEVNY (M.D.) – Psychiatry Physician, NPI 1114098431
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JACQUELINE B PEVNY (M.D.)
4201 N OCEAN BLVD APT C302
BOCA RATON, FL 334315359
Phone: (917) 699-4391
Type: Location
2640, Devon Court, Delray Beach, Palm Beach County, Florida, 33445, United States
DELRAY BEACH, FL 334457111
Phone: (561) 272-4888
Fax: (561) 265-5035
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $694.
Total Amount is formed as General ($694) + Research ($0) + Ownership ($0) = $694.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($364).
Total Amount
$694
General + Research + Ownership
Payments
39
Total payment records
General Amount
$694
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $364 |
| Janssen Pharmaceuticals, Inc | $148 |
| Otsuka America Pharmaceutical, Inc. | $91 |
| Alkermes, Inc. | $27 |
| Indivior Inc. | $24 |
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: 2004-01-08
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 |
|---|---|---|---|---|
| I20040108000085 | I | Psychiatry | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33431)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | FL | 90792 | Psychiatric diagnostic evaluation with medical services | 12 | 12 |
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