STACY R ROSENBLUM (D.O.) – Dermatology Physician, NPI 1609218965
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Provider Addresses for STACY R ROSENBLUM (D.O.)
PO BOX 844492
LOS ANGELES, CA 900844492
Phone: (480) 948-8400
Fax: (480) 948-8401
Type: Mailing
3319 STATE ROAD 7
STE 110
WELLINGTON, FL 334498094
Phone: (561) 784-7884
Fax: (561) 784-7884
Type: Location
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 $2,388.
Total Amount is formed as General ($2,388) + Research ($0) + Ownership ($0) = $2,388.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($466).
Total Amount
$2,388
General + Research + Ownership
Payments
118
Total payment records
General Amount
$2,388
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 |
|---|---|
| Dermavant Sciences, Inc. | $466 |
| ABBVIE INC. | $435 |
| PFIZER INC. | $255 |
| Arcutis Biotherapeutics, Inc. | $223 |
| Sun Pharmaceutical Industries Inc. | $130 |
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: 2016-04-11
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 |
|---|---|---|---|---|
| I20160411001182 | I | Dermatology | FL | 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 | 678 | 137 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 315 | 212 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 274 | 198 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 249 | 173 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 199 | 111 | $0 |
Insurance plans in this area (ZIP 90084)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| U R O L O G Y | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA |
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