NOLAN J MALONEY (MD) – MOHS-Micrographic Surgery Physician, NPI 1124655618
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
117 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in CA
Provider Addresses for NOLAN J MALONEY (MD)
450 BROADWAY ST FL 4
REDWOOD CITY, CA 940633132
Phone: (650) 723-6316
Type: Mailing
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 900276021
Phone: (323) 783-0339
Type: Mailing
2959 SISKIYOU BLVD STE B
MEDFORD, OR 975048131
Phone: (541) 773-3636
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $1,479.
Total Amount is formed as General ($1,479) + Research ($0) + Ownership ($0) = $1,479.
Last reported payment date: 2024-03-10 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($433).
Total Amount
$1,479
General + Research + Ownership
Payments
13
Total payment records
General Amount
$1,479
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-08-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230620002471 | I | Dermatology | CA | TBD |
| I20250813003594 | I | Micrographic Dermatologic Surgery (Mds) | OR | 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 94063)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Pathology | CO | |
| - | OR | |
| D E R M A T O L O G Y | OR | |
| D E R M A T O L O G Y | OR | |
| - | OR | |
| Dermatology, Pathology | OR | |
| D E R M A T O L O G Y | VA | |
| D E R M A T O L O G Y | TX | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | OR | |
| D E R M A T O L O G Y | WA |
Reviews
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