DR. COURTNEY WEATHERSBY BAGAYOKO (M.D.) – Dermatology Physician, NPI 1235472176
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
25 DERMATOLOGY in AK
Provider Addresses for DR. COURTNEY WEATHERSBY BAGAYOKO (M.D.)
615 E 82ND AVE STE 204
ANCHORAGE, AK 995183159
Phone: (907) 865-8455
Fax: (913) 246-4901
Type: Location
615 E 82nd Ave Ste 302
Anchorage, AK 995183159
Phone: (907) 865-8455
Fax: (913) 246-4901
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $419.
Total Amount is formed as General ($419) + Research ($0) + Ownership ($0) = $419.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($113).
Total Amount
$419
General + Research + Ownership
Payments
18
Total payment records
General Amount
$419
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $113 |
| SANOFI-AVENTIS U.S. LLC | $100 |
| Arcutis Biotherapeutics, Inc. | $88 |
| GENZYME CORPORATION | $49 |
| Lilly USA, LLC | $41 |
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: 2020-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170927002305 | I | Dermatology | TX | TBD |
| I20200226002807 | I | Dermatology | AK | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 143 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 96 | 69 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 43 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 34 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 37 | 35 | $0 |
Insurance plans in this area (ZIP 99518)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Micrographic Dermatologic Surgery (Mds) | AK | |
| Physician Assistant | AK | |
| Physician Assistant | AK |
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