ALBERT PENG (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1609862820
MOHS-Micrographic Surgery 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 ALBERT PENG (M.D.)
3536, Mendocino Avenue, Santa Rosa, Sonoma County, California, 95403, United States
STE 200
SANTA ROSA, CA 954033634
Phone: (707) 525-6485
Fax: (707) 573-6918
Type: Mailing
Redwood Family Dermatology, 2725, Mendocino Avenue, Santa Rosa, Sonoma County, California, 95403, United States
SANTA ROSA, CA 954032805
Phone: (707) 545-4537
Fax: (707) 545-6726
Type: Location
2725 MENDOCINO AVE
SANTA ROSA, CA 954032805
Phone: (707) 542-6313
Fax: (075) 456-7267
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 133 Open Payments records for all available years, with a total value of $3,113.
Total Amount is formed as General ($3,113) + Research ($0) + Ownership ($0) = $3,113.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($617).
Total Amount
$3,113
General + Research + Ownership
Payments
133
Total payment records
General Amount
$3,113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $617 |
| MIMEDX Group, Inc. | $293 |
| Lilly USA, LLC | $266 |
| Janssen Biotech, Inc. | $252 |
| Amgen Inc. | $211 |
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: 2003-12-19
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 |
|---|---|---|---|---|
| I20031219000858 | 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 | 2,801 | 13 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 1,228 | 981 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,155 | 187 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 515 | 412 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 344 | 263 | $0 |
Insurance plans in this area (ZIP 95403)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Dermatology | CA |
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