JACQUELINE SHERRY FERN M.D.
NPI 1235114752
Dermatology in Port Jefferson Station, NY

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2 MEDICAL DR, SUITE A, PORT JEFFERSON STATION, NY 11776(631) 928-1555(631) 928-1570 Get Directions Write a Review

NPPES record last updated: May 22, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Sherry Fern M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE SHERRY FERN M.D. (NPI 1235114752) is an individual dermatology provider in Port Jefferson Station, New York, licensed in New York (175358) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1987).

NPPES Registry Identity

NPI1235114752
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameJACQUELINE SHERRY FERNCredential: M.D.
Location Address2 MEDICAL DR, SUITE APort Jefferson Station, NY 11776-1598
Mailing Address2 Medical Dr, Suite APort Jefferson Station, NY 11776-1598 · (631) 928-1555 · Fax (631) 928-1570
Fax(631) 928-1570
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1987
Enumeration DateDecember 7, 2005
Last NPPES UpdateMay 22, 2014
NPI 1235114752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NY · 175358
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

2 MEDICAL DR, Port Jefferson Station, NY 11776

Other Identifiers 2

Medicare ID-Type Unspecified88F262NY
Medicare UPINE94716NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Sherry Fern M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769665652
PECOS Enrollment IDI20110330000984
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
610 services177 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
568 services420 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
332 services261 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
132 services132 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
98 services85 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
93 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
2 MEDICAL DR, SUITE A
PORT JEFFERSON STATION, NY 11776
Podiatrist (Primary Podiatric Medicine)
2 MEDICAL DR, STE C
PORT JEFFERSON STATION, NY 11776
Prosthetic/Orthotic Supplier
2 MEDICAL DR, SUITE C
PRT JEFF STA, NY 11776
Internal Medicine
2 MEDICAL DR, SUITE D
PORT JEFFERSON STATION, NY 11776
Internal Medicine
2 MEDICAL DR, STE D
PORT JEFFERSON STATION, NY 11776
Dermatology
2 MEDICAL DR, STE A
PORT JEFFERSON STATION, NY 11776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Fern's NPI number?

The NPI number for Jacqueline Fern is 1235114752. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Jacqueline Fern located?

Jacqueline Fern practices at 2 Medical Dr Suite A, Port Jefferson Station, NY 11776. The listed phone number is (631) 928-1555.

What is Jacqueline Fern's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jacqueline Fern enrolled in Medicare?

Yes. Jacqueline Fern is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacqueline Fern was last updated on May 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.