JESALYN AUTUMN TATE (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1629427497
MOHS-Micrographic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JESALYN AUTUMN TATE (M.D.)
2000 OLATHE FL 4C
KANSAS CITY, KS 661603438
Phone: (913) 588-1227
Type: Location
Madison Avenue, Beale Street Historic District, Memphis, Shelby County, Tennessee, 38104, United States
SUITE 447
MEMPHIS, TN 381033438
Phone: (901) 448-5814
Type: Location
920 Madison Ave
Suite 447
Memphis, TN 381033438
Phone: (901) 448-5814
Type: Location
956, Court Avenue, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38103, United States
SUITE H314
MEMPHIS, TN 381032814
Phone: (901) 448-5814
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $444.
Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.
Last reported payment date: 2024-04-12 • Largest payer in this snapshot: Janssen Biotech, Inc. ($114).
Total Amount
$444
General + Research + Ownership
Payments
20
Total payment records
General Amount
$444
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $114 |
| Lilly USA, LLC | $78 |
| Organogenesis Inc. | $71 |
| Incyte Corporation | $68 |
| Amgen Inc. | $33 |
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: 2025-02-25
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 |
|---|---|---|---|---|
| I20250225002032 | I | Dermatology | WI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 233 | 131 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 228 | 174 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 98 | 18 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 92 | 62 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 73 | 70 | $0 |
Insurance plans in this area (ZIP 66160)
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