SUSAN SHIMOMAYE (MD) – MOHS-Micrographic Surgery Physician, NPI 1801828058
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 SUSAN SHIMOMAYE (MD)
Vista Way, South Oceanside, Oceanside, San Diego County, California, 92054, United States
OCEANSIDE, CA 920564515
Phone: (760) 758-5340
Fax: (760) 758-5502
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 158 Open Payments records for all available years, with a total value of $4,975.
Total Amount is formed as General ($4,975) + Research ($0) + Ownership ($0) = $4,975.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($942).
Total Amount
$4,975
General + Research + Ownership
Payments
158
Total payment records
General Amount
$4,975
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $942 |
| GENZYME CORPORATION | $880 |
| PFIZER INC. | $452 |
| Janssen Biotech, Inc. | $438 |
| Novartis Pharmaceuticals Corporation | $171 |
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: 2004-03-24
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 |
|---|---|---|---|---|
| I20040324001876 | 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 | 1,648 | 245 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 541 | 397 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 480 | 361 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 446 | 316 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 301 | 234 | $0 |
Insurance plans in this area (ZIP 92056)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | CA | 11101 | Biopsy of each additional growth of skin and/or tissue | 211 | 121 |
| DERMATOLOGY | CA | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 85 | 70 |
| DERMATOLOGY | CA | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 26 | 23 |
| DERMATOLOGY | CA | 17003 | Destruction of 2-14 skin growths | 1526 | 226 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | FL | |
| Dermatology, Pathology | 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 | |
| General Practice, Radiation Oncology, General Practice | CA |
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