DR. KHANH YEN TRUONG (M.D.) – Dermatology Physician, NPI 1619962552
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for DR. KHANH YEN TRUONG (M.D.)
1101, South Dora Street, Westside, Ukiah, Mendocino County, California, 95482, United States
UKIAH, CA 954826341
Phone: (707) 527-9517
Fax: (707) 527-9913
Type: Mailing
196 WIKIUP DR
SANTA ROSA, CA 954037773
Phone: (075) 279-5177
Fax: (707) 527-9913
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 178 Open Payments records for all available years, with a total value of $4,213.
Total Amount is formed as General ($4,213) + Research ($0) + Ownership ($0) = $4,213.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,130).
Total Amount
$4,213
General + Research + Ownership
Payments
178
Total payment records
General Amount
$4,213
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,130 |
| Lilly USA, LLC | $618 |
| Regeneron Healthcare Solutions, Inc. | $565 |
| UCB, Inc. | $255 |
| Incyte Corporation | $225 |
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: 2005-08-23
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 |
|---|---|---|---|---|
| I20050823000762 | 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 | 4,200 | 17 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 950 | 144 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 498 | 314 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 219 | 181 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 143 | 102 | $0 |
Insurance plans in this area (ZIP 95482)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Micrographic Dermatologic Surgery (Mds) | CA |
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