KATTIE J ALLEN (MD) – MOHS-Micrographic Surgery Physician, NPI 1033319686
MOHS-Micrographic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
6 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in AR
Provider Addresses for KATTIE J ALLEN (MD)
1651 E Stearns St Ste 110
Fayetteville, AR 727036196
Phone: (479) 876-8550
Fax: (479) 208-4266
Type: Location
14 Riordan Rd
Bella Vista, AR 727143516
Phone: (479) 876-8550
Fax: (479) 208-4266
Type: Location
1651 E STEARNS ST STE 110
FAYETTEVILLE, AR 727036196
Phone: (479) 876-8550
Fax: (479) 208-4266
Type: Mailing
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 727125473
Phone: (479) 876-8550
Fax: (479) 208-4266
Type: Location
901, Southeast Plaza Avenue, Bentonville, Benton County, Arkansas, 72712, United States
SUITE 5
BENTONVILLE, AR 727125697
Phone: (479) 273-3376
Fax: (479) 273-3468
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 112 Open Payments records for all available years, with a total value of $2,259.
Total Amount is formed as General ($2,259) + Research ($0) + Ownership ($0) = $2,259.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($654).
Total Amount
$2,259
General + Research + Ownership
Payments
112
Total payment records
General Amount
$2,259
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $654 |
| Lilly USA, LLC | $379 |
| ABBVIE INC. | $292 |
| E.R. Squibb & Sons, L.L.C. | $219 |
| Novartis Pharmaceuticals Corporation | $128 |
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: 2012-08-03
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 |
|---|---|---|---|---|
| I20120803000468 | I | Micrographic Dermatologic Surgery (Mds) | AR | 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 | 577 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 332 | 202 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 318 | 233 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 231 | 143 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 189 | 111 | $0 |
Insurance plans in this area (ZIP 72703)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | AR | |
| Nurse Practitioner | AR | |
| D E R M A T O L O G Y | AR | |
| Physician Assistant | OK | |
| Physician Assistant | AR | |
| D E R M A T O L O G Y | AR | |
| Physician Assistant | AR | |
| Physician Assistant | AR | |
| - | AR | |
| Nurse Practitioner | AR |
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