JASON DEPASQUALE (PA) – Physician Assistant, NPI 1053714188
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JASON DEPASQUALE (PA)
44 PEACHTREE PL NW UNIT 1426
ATLANTA, GA 303095412
Phone: (315) 439-3739
Type: Mailing
30 BROAD ST FL 45
NEW YORK, NY 100042942
Phone: (888) 663-6331
Fax: (415) 252-7176
Type: Location
5665 NEW NORTHSIDE DR
ATLANTA, GA 303285831
Phone: (770) 874-6907
Type: Mailing
3950 AUSTELL RD
AUSTELL, GA 301061121
Phone: (770) 732-3886
Type: Location
3950 Austell Rd
Austell, GA 301061121
Phone: (770) 732-3886
Type: Location
3515 Camp Creek Pkwy Ste 110
East Point, GA 303448411
Phone: (404) 344-7337
Fax: (404) 344-8338
Type: Location
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: 2024-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20231212001387 | I | Physician Assistant | MA | TBD |
| I20240124004947 | I | Physician Assistant | NC | TBD |
| I20240127000362 | I | Physician Assistant | OH | TBD |
| I20240207000983 | I | Physician Assistant | IL | TBD |
| I20240327002042 | I | Physician Assistant | FL | TBD |
| I20240809000880 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 31 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 24 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 16 | 16 | $0 |
Insurance plans in this area (ZIP 30309)
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