MICHAEL D MICHENER (MD) – Dermatology Physician, NPI 1467448662

MICHAEL D MICHENER (MD) is a healthcare provider. based in Anchorage, Alaska. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 036114135 (IL). The NPI Number for MICHAEL D MICHENER (MD) is 1467448662

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL D MICHENER (MD)
NPI
1467448662
Phone
(907) 646-8500
Address
3841 PIPER ST STE T4-020
Enumeration Date
22 September 2005
Last Update Date
13 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9076468500
Graduation Year
1999 (27 years ago)
PAC ID
7214936012
Group Practice PAC ID
1153609813
Professional Enrollment ID
I20190828004139
Address ID
AK995084673AN3841XSTXX309
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

25 DERMATOLOGY in AK

Provider Addresses for MICHAEL D MICHENER (MD)

  • 3841 PIPER ST STE T4-020

    ANCHORAGE, AK 995084673

    Phone: (907) 646-8500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 275 Open Payments records for all available years, with a total value of $6,861.

Total Amount is formed as General ($6,861) + Research ($0) + Ownership ($0) = $6,861.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($1,705).

Total Amount

$6,861

General + Research + Ownership

Payments

275

Total payment records

General Amount

$6,861

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-08-28

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190828004139IDermatologyAKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths2,312489$0
99213Established patient office or other outpatient visit, 20-29 minutes1,108859$0
17000Destruction of precancer skin growth, 1 growth846665$0
11102Biopsy of related skin growth, first growth370347$0
17110Destruction of skin growth, 1-14 growths211183$0
View full utilization report →

Insurance plans in this area (ZIP 99508)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153609813View full group profile
NameSpecialtyState
D E R M A T O L O G YOR
Physician AssistantNV
Physician AssistantID
D E R M A T O L O G YNV
-AK
-ID
D E R M A T O L O G YOH
Physician AssistantTX
Physician AssistantOR
Physician AssistantOR

Reviews

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Frequently asked questions

Is MICHAEL D MICHENER (MD) listed with a National Provider Identifier?
Yes — MICHAEL D MICHENER (MD) has NPI 1467448662 on file in the registry.
Is MICHAEL D MICHENER (MD) shown as active in public data?
Registry records indicate MICHAEL D MICHENER (MD) maintains an active NPI.
What clinical focus is listed for MICHAEL D MICHENER (MD)?
At a glance, MICHAEL D MICHENER (MD) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MICHAEL D MICHENER (MD)?
Directory geography for MICHAEL D MICHENER (MD) centers on Anchorage, Alaska.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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