DR. BENJAMIN JOSEPH NICHOLS (MD) – Dermatology Physician, NPI 1790983237
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 DR. BENJAMIN JOSEPH NICHOLS (MD)
1300, South Eliseo Drive, Skylark, Larkspur, Marin County, California, 94904, United States
SUITE 207
GREENBRAE, CA 949042023
Phone: (415) 925-0550
Fax: (415) 925-9062
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 118 Open Payments records for all available years, with a total value of $3,193.
Total Amount is formed as General ($3,193) + Research ($0) + Ownership ($0) = $3,193.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($629).
Total Amount
$3,193
General + Research + Ownership
Payments
118
Total payment records
General Amount
$3,193
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 |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $629 |
| Sun Pharmaceutical Industries Inc. | $402 |
| Lilly USA, LLC | $351 |
| Amgen Inc. | $349 |
| ABBVIE INC. | $330 |
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: 2009-09-08
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 |
|---|---|---|---|---|
| I20090908000053 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 3,592 | 635 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,491 | 997 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 976 | 751 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 416 | 354 | $0 |
| 96910 | Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | 361 | 17 | $0 |
Insurance plans in this area (ZIP 94904)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| Physician Assistant | CO | |
| 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 |
Reviews
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