DR. STANISLAV NICKOLAEVICH TOLKACHJOV (M.D.) – Dermatology Physician, NPI 1952662868
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
207 DERMATOLOGY in AL
Provider Addresses for DR. STANISLAV NICKOLAEVICH TOLKACHJOV (M.D.)
2000 STONEGATE TRL
SUITE 112
VESTAVIA HLS, AL 352422246
Phone: (205) 977-9876
Type: Mailing
7300 RANCH ROAD 2222, BLDG 1, STE 200
AUSTIN, TX 787303255
Phone: (512) 628-0465
Fax: (512) 233-2711
Type: Mailing
1640 FM 544 STE 100
LEWISVILLE, TX 750567013
Phone: (972) 395-1101
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 96 Open Payments records for all available years, with a total value of $111,347.
Total Amount is formed as General ($111,347) + Research ($0) + Ownership ($0) = $111,347.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Kerecis Limited ($50,186).
Total Amount
$111,347
General + Research + Ownership
Payments
96
Total payment records
General Amount
$111,347
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $50,186 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $49,457 |
| Boehringer Ingelheim International GmbH | $8,393 |
| Bioventus LLC | $1,857 |
| Arcutis Biotherapeutics, Inc. | $161 |
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: 2022-10-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20190221000835 | I | Dermatology | TX | TBD |
| I20191030002142 | I | Dermatology | AZ | TBD |
| I20200710000526 | I | Dermatology | IA | TBD |
| I20221031002990 | I | Dermatology | MO | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 969 | 789 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 391 | 345 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 333 | 226 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 330 | 56 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 299 | 271 | $0 |
Insurance plans in this area (ZIP 35242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| Interventional Radiology, Diagnostic Radiology | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | AZ |
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