Unknown Individual – Dermatology Physician, NPI 1235357252
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
400 NEWPORT CENTER DR
SUITE 210
NEWPORT BEACH, CA 926607601
Phone: (949) 720-9500
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $246.
Total Amount is formed as General ($246) + Research ($0) + Ownership ($0) = $246.
Last reported payment date: 2024-03-22 • Largest payer in this snapshot: ABBVIE INC. ($88).
Total Amount
$246
General + Research + Ownership
Payments
10
Total payment records
General Amount
$246
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-22
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.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 3,501 | 166 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 2,315 | 112 | $0 |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 1,864 | 184 | $0 |
| 0394T | High dose rate electronic brachytherapy, external | 955 | 51 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 408 | 106 | $0 |
Insurance plans in this area (ZIP 92660)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | CA | 11101 | Biopsy of each additional growth of skin and/or tissue | 30 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| - | CA | |
| Dermatology, General Surgery | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Physician Assistant | CA | |
| - | CA | |
| D E R M A T O L O G Y | MA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA |
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