HAYES BORDMAN GLADSTONE (MD) – Dermatology Physician, NPI 1619003282
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for HAYES BORDMAN GLADSTONE (MD)
3860 BLACKHAWK RD STE 140
DANVILLE, CA 945064832
Phone: (925) 837-6000
Fax: (925) 837-6011
Type: Mailing
101 PARK PLACE STE 200
SAN RAMON, CA 945831761
Phone: (925) 837-6000
Fax: (925) 837-6011
Type: Mailing
1220 Rossmoor Pkwy
Walnut Creek, CA 945952501
Phone: (925) 837-6000
Type: Location
1660 W Yosemite Ave Ste 4
Manteca, CA 953375194
Phone: (219) 665-3202
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $432.
Total Amount is formed as General ($432) + Research ($0) + Ownership ($0) = $432.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Solta Medical, a division of Bausch Health US, LLC ($132).
Total Amount
$432
General + Research + Ownership
Payments
13
Total payment records
General Amount
$432
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20081022000748 | I | Dermatology | CA | TBD |
| I20171201002142 | I | Dermatology | OR | 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 | 2,791 | 369 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 807 | 546 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 725 | 470 | $0 |
| 0394T | High dose rate electronic brachytherapy, external | 641 | 46 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 576 | 429 | $0 |
Insurance plans in this area (ZIP 94506)
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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 | 1755 | 264 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | UT |
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