ALLISON LACEY MCCORMICK (M.D.) – Dermatology Physician, NPI 1316023484
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
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Provider Addresses for ALLISON LACEY MCCORMICK (M.D.)
Sutter Auburn Surgery Center, Professional Drive, Placer County, California, 95603, United States
AUBURN, CA 956022412
Phone: (530) 888-1016
Fax: (530) 888-1346
Type: Location
300, Sierra College Drive, Spring Hill, Grass Valley, Nevada County, California, 95945, United States
SUITE 235
GRASS VALLEY, CA 959455082
Phone: (530) 273-6530
Fax: (530) 273-3951
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 73 Open Payments records for all available years, with a total value of $1,584.
Total Amount is formed as General ($1,584) + Research ($0) + Ownership ($0) = $1,584.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($370).
Total Amount
$1,584
General + Research + Ownership
Payments
73
Total payment records
General Amount
$1,584
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $370 |
| Janssen Biotech, Inc. | $233 |
| GENZYME CORPORATION | $227 |
| Sun Pharmaceutical Industries Inc. | $141 |
| Incyte Corporation | $60 |
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: 2005-04-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050404001120 | 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 | 13,427 | 1,888 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 4,681 | 2,763 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 3,821 | 2,412 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 3,797 | 2,305 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 3,095 | 1,978 | $0 |
Insurance plans in this area (ZIP 95602)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | CA | 17003 | Destruction of 2-14 skin growths | 5949 | 877 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| A L L E R G Y/ I M M U N O L O G Y | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA |
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