CHARLES LUCKEY DUNN (MD) – MOHS-Micrographic Surgery Physician, NPI 1477976082
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
25 DERMATOLOGY in AK
Provider Addresses for CHARLES LUCKEY DUNN (MD)
673 MDG
5955 ZEAMER AVENUE
JBER, AK 99506
Phone: (907) 580-2908
Type: Mailing
151 SOUTHHALL LN STE 300
MAITLAND, FL 327517172
Phone: (866) 400-3376
Fax: (407) 650-3455
Type: Mailing
1720 DUNLAWTON AVE STE 2
PORT ORANGE, FL 321272916
Phone: (866) 400-3376
Fax: (386) 322-8370
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $6,952.
Total Amount is formed as General ($6,952) + Research ($0) + Ownership ($0) = $6,952.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: GENZYME CORPORATION ($5,602).
Total Amount
$6,952
General + Research + Ownership
Payments
56
Total payment records
General Amount
$6,952
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 |
|---|---|
| GENZYME CORPORATION | $5,602 |
| ABBVIE INC. | $384 |
| PFIZER INC. | $338 |
| LEO Pharma Inc. | $176 |
| Regeneron Healthcare Solutions, Inc. | $148 |
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: 2024-05-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240521002251 | I | Dermatology | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL |
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