Jennifer Freeman
NPI 1417319757ActiveIndividual· Dermatology· Santa Rosa, CA
Dermatology with Sutter Bay Medical Foundation, practicing in Santa Rosa, California. 417 Medicare patients in 2024, $114,174 paid; nearly all of their 331 Part D prescriptions were generic (98%). Lists California Pacific Medical Ctr-Davies Campus Hosp as a hospital affiliation.
Overview
| NPI | 1417319757 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 25, 2016 |
| Last updated in NPPES | Nov 9, 2020 |
| Certified by provider | Sep 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | A153193 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dermatology (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 417 |
|---|---|
| Services billed | 2,295 across 29 procedure codes |
| Paid by Medicare | $114,174 |
Part D prescriptions in 2024
| Prescriptions (claims) | 331 · 396 30-day fills |
|---|---|
| Patients | 155 |
| Total drug cost | $22,887 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Dermatology |
Medical group
- Sutter Bay Medical FoundationFremont, CA · 3,829 clinicians
Hospital affiliation
- California Pacific Medical Ctr-Davies Campus HospSan Francisco, CA
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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