STEPHANIE G CULLINANE (PA C) – Physician Assistant, NPI 1093708901
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for STEPHANIE G CULLINANE (PA C)
535, Miller Avenue, Almonte, Mill Valley, Marin County, California, 94941, United States
MILL VALLEY, CA 949412905
Phone: (415) 383-5486
Fax: (415) 389-7455
Type: Mailing
2330 MARINSHIP WAY STE 370
SAUSALITO, CA 949652853
Phone: (415) 887-9758
Fax: (415) 887-9763
Type: Location
535 Miller Ave
Mill Valley, CA 949412905
Phone: (415) 383-5486
Fax: (415) 389-7455
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 174 Open Payments records for all available years, with a total value of $3,595.
Total Amount is formed as General ($3,595) + Research ($0) + Ownership ($0) = $3,595.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Janssen Biotech, Inc. ($665).
Total Amount
$3,595
General + Research + Ownership
Payments
174
Total payment records
General Amount
$3,595
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $665 |
| ABBVIE INC. | $659 |
| Lilly USA, LLC | $605 |
| PFIZER INC. | $279 |
| REVANCE THERAPEUTICS, INC. | $203 |
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: 2008-07-17
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 |
|---|---|---|---|---|
| I20080717000424 | I | Physician Assistant | CA | 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 | 1,198 | 192 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 664 | 356 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 434 | 263 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 255 | 181 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 160 | 122 | $0 |
Insurance plans in this area (ZIP 94941)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| Physician Assistant | CA | |
| - | CA | |
| - | CA | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | NJ |
Reviews
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