SUSAN P DETWILER (MD) – Dermatopathology Physician, NPI 1184656290
Dermatopathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for SUSAN P DETWILER (MD)
7110 CAMINITO PEPINO
LA JOLLA, CA 920375721
Phone: (858) 539-7300
Fax: (858) 539-7305
Type: Location
7076, Caminito Valverde, La Jolla, San Diego, San Diego County, California, 92037, United States
LA JOLLA, CA 920375723
Phone: (858) 539-7300
Fax: (858) 539-7305
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 118 Open Payments records for all available years, with a total value of $3,014.
Total Amount is formed as General ($3,014) + Research ($0) + Ownership ($0) = $3,014.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($618).
Total Amount
$3,014
General + Research + Ownership
Payments
118
Total payment records
General Amount
$3,014
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $618 |
| E.R. Squibb & Sons, L.L.C. | $321 |
| Janssen Biotech, Inc. | $214 |
| Dermavant Sciences, Inc. | $178 |
| Incyte Corporation | $123 |
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: 2003-12-09
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 |
|---|---|---|---|---|
| I20031209001068 | I | Dermatology | 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 | 1,192 | 146 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 497 | 281 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 340 | 214 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 287 | 186 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 253 | 153 | $0 |
Insurance plans in this area (ZIP 92037)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | CA | |
| General Practice, Radiation Oncology, General Practice | CA | |
| D E R M A T O L O G Y | UT |
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