DR. SANDRA LEE REBISH (MD) – Dermatology Physician, NPI 1235252289

DR. SANDRA LEE REBISH (MD) is a healthcare provider. based in Upland, California. specializing in DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold the professional credentials MD. They hold a License No. A81296 (CA). The NPI Number for DR. SANDRA LEE REBISH (MD) is 1235252289

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANDRA LEE REBISH (MD)
NPI
1235252289
Phone
(909) 981-8929
Address
639 N 13TH AVE
Enumeration Date
6 April 2007
Last Update Date
20 January 2023

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9099818929
Graduation Year
1998 (28 years ago)
PAC ID
5799683942
Group Practice PAC ID
8325946015
Professional Enrollment ID
I20041104000701
Address ID
CA917864085UP859XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

Provider Addresses for DR. SANDRA LEE REBISH (MD)

  • 639 N 13TH AVE

    UPLAND, CA 917864906

    Phone: (909) 981-8929

    Fax: (909) 946-9740

    Type: Mailing

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 859 E FOOTHILL BLVD STE B

    UPLAND, CA 917864085

    Phone: (909) 981-8929

    Fax: (909) 946-9740

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $629,196.

Total Amount is formed as General ($629,196) + Research ($0) + Ownership ($0) = $629,196.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Incyte Corporation ($319,150).

Total Amount

$629,196

General + Research + Ownership

Payments

47

Total payment records

General Amount

$629,196

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-11-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041104000701IDermatologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks147123$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks13077$0
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm4844$0
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks2320$0
13121Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm2019$0
View full utilization report →

Insurance plans in this area (ZIP 91786)

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Provider's Procedures

DR. SANDRA LEE REBISH (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCA13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet9986

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325946015View full group profile
NameSpecialtyState
Physician AssistantCA
D E R M A T O L O G YNJ
D E R M A T O L O G YCA
D E R M A T O L O G YOH
Physician AssistantCA
Physician AssistantCA
D E R M A T O L O G YCA
Physician AssistantCA
Nurse PractitionerCA
Dermatology, Micrographic Dermatologic Surgery (Mds)CA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SANDRA LEE REBISH (MD)'s NPI?
Yes. DR. SANDRA LEE REBISH (MD) is listed with NPI 1235252289 in the public NPI dataset.
Does the file indicate DR. SANDRA LEE REBISH (MD) is practicing under active NPI?
Directory data currently reports DR. SANDRA LEE REBISH (MD) as active.
What healthcare role does DR. SANDRA LEE REBISH (MD) hold?
Scheduling teams often label DR. SANDRA LEE REBISH (MD) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SANDRA LEE REBISH (MD) on a map?
Expect Upland, California as a primary anchor for DR. SANDRA LEE REBISH (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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