MARYAM MOINFAR (MD) – Dermatology Physician, NPI 1376515403
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 MARYAM MOINFAR (MD)
34213, Pacific Coast Highway, Dana Point, Orange County, California, 92629, United States
DANA POINT, CA 926292875
Phone: (952) 240-2827
Fax: (949) 248-4587
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 86 Open Payments records for all available years, with a total value of $2,508.
Total Amount is formed as General ($2,508) + Research ($0) + Ownership ($0) = $2,508.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Amgen Inc. ($262).
Total Amount
$2,508
General + Research + Ownership
Payments
86
Total payment records
General Amount
$2,508
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $262 |
| Incyte Corporation | $216 |
| Merz North America, Inc. | $188 |
| Sun Pharmaceutical Industries Inc. | $155 |
| E.R. Squibb & Sons, L.L.C. | $150 |
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: 2005-11-16
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 |
|---|---|---|---|---|
| I20051116000603 | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 4,600 | 19 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,367 | 321 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,028 | 513 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,021 | 475 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 664 | 423 | $0 |
Insurance plans in this area (ZIP 92629)
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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 | 160 | 100 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA |
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