JACQUELINE M BENNER (PA-C) – Physician Assistant, NPI 1730376229
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JACQUELINE M BENNER (PA-C)
1110, South Oxford Road, Grosse Pointe Woods, Wayne County, Michigan, 48236, United States
GROSSE POINTE WOODS, MI 482361871
Phone: (313) 588-2986
Type: Mailing
Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States
DETROIT, MI 482022608
Phone: (313) 916-2600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 89 Open Payments records for all available years, with a total value of $1,874.
Total Amount is formed as General ($1,874) + Research ($0) + Ownership ($0) = $1,874.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: GENZYME CORPORATION ($506).
Total Amount
$1,874
General + Research + Ownership
Payments
89
Total payment records
General Amount
$1,874
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $506 |
| Regeneron Healthcare Solutions, Inc. | $213 |
| Novartis Pharmaceuticals Corporation | $154 |
| Journey Medical Corporation | $123 |
| Lilly USA, LLC | $121 |
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: 2011-04-14
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 |
|---|---|---|---|---|
| I20110414000852 | I | Physician Assistant | MI | 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 | 110 | 80 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 104 | 69 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 79 | 24 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 71 | 47 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 57 | 41 | $0 |
Insurance plans in this area (ZIP 48236)
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