Jessica Anne Lauderdale, DO
NPI 1093095523ActiveIndividual· Family Medicine· Pontotoc, MS
Family Medicine (DO) in Pontotoc, Mississippi, licensed in MS and MI, with an NPI issued in August 2011. Their prescriptions cost Medicare Part D more than their services did: $74,476 for 1,290 claims, against $16,155 paid for services in 2024. Lists Choctaw Regional Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1093095523 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | Yes |
| NPI issued | Aug 29, 2011 |
| Last updated in NPPES | Nov 17, 2023 |
| Certified by provider | Nov 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 23832 | MS |
| General Practice | 208D00000X | L2069591 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 50 |
|---|---|
| Services billed | 585 across 29 procedure codes |
| Paid by Medicare | $16,155 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,290 · 1,842 30-day fills |
|---|---|
| Patients | 130 |
| Total drug cost | $74,476 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Family Practice |
Hospital affiliations
- Choctaw Regional Medical CenterAckerman, MS
- North Mississippi Medical CenterTupelo, MS
- Pontotoc Health Service Inc CahPontotoc, MS
Other facilities
- Centerwell Home HealthHome health agency · Tupelo, MS
- North Mississippi Medical Ctr HhaHome health agency · Tupelo, MS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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