DR. SPYROS MICHAEL SISCOS (MD) – MOHS-Micrographic Surgery Physician, NPI 1154826204
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for DR. SPYROS MICHAEL SISCOS (MD)
200 Medical Plaza Driveway Suite 465
Los Angeles, CA 900950001
Phone: (913) 744-9472
Type: Location
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 661608500
Phone: (913) 588-6050
Type: Mailing
1868 KELTON AVE APT 202
LOS ANGELES, CA 900256759
Phone: (913) 744-9472
Type: Mailing
2101 CHARLOTTE ST
KANSAS CITY, MO 641082727
Phone: (816) 404-7810
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $420.
Total Amount is formed as General ($420) + Research ($0) + Ownership ($0) = $420.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Solta Medical, a division of Bausch Health US, LLC ($265).
Total Amount
$420
General + Research + Ownership
Payments
4
Total payment records
General Amount
$420
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Solta Medical, a division of Bausch Health US, LLC | $265 |
| Lilly USA, LLC | $106 |
| ABBVIE INC. | $26 |
| ConvaTec Inc. | $23 |
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: 2023-06-16
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 |
|---|---|---|---|---|
| I20230616000449 | I | Dermatology | MO | TBD |
| I20230616000679 | I | Micrographic Dermatologic Surgery (Mds) | KS | 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 | 49 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 29 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 28 | 26 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 23 | 21 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 90095)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | DC | |
| D E R M A T O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Internal Medicine | MO | |
| - | MO | |
| P S Y C H I A T R Y | MO | |
| P S Y C H I A T R Y | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | PA | |
| P S Y C H I A T R Y | MO |
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