DR. MATHEW M CANNAVA (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1245368695
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
25 DERMATOLOGY in AK
Provider Addresses for DR. MATHEW M CANNAVA (M.D.)
PO BOX 780
SOLDOTNA, AK 996690780
Phone: (907) 262-7546
Fax: (907) 262-7599
Type: Mailing
247 N FIREWEED ST
STE B
SOLDOTNA, AK 996697540
Phone: (907) 262-7546
Fax: (907) 262-7599
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2006-03-28
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20060328000072 | 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 | 508 | 122 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 265 | 227 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 245 | 215 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 170 | 147 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 125 | 125 | $0 |
Insurance plans in this area (ZIP 99669)
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Provider's Procedures
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