ELAINE JENNY LIN (M.D.) – Dermatology Physician, NPI 1881049872
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for ELAINE JENNY LIN (M.D.)
5000 CIVIC CENTER DR
SAN RAFAEL, CA 949034184
Phone: (415) 499-0100
Type: Mailing
27591, Jaquita Place, San Joaquin Hills, Laguna Niguel, Orange County, California, 92677, United States
LAGUNA NIGUEL, CA 926776046
Phone: (510) 828-0260
Type: Mailing
Olive View–UCLA Medical Center, 14445, Olive View Drive, Los Angeles, Los Angeles County, California, 91342, United States
SYLMAR, CA 913421437
Phone: (818) 364-1555
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $479.
Total Amount is formed as General ($479) + Research ($0) + Ownership ($0) = $479.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Incyte Corporation ($98).
Total Amount
$479
General + Research + Ownership
Payments
18
Total payment records
General Amount
$479
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Incyte Corporation | $98 |
| PFIZER INC. | $68 |
| GENZYME CORPORATION | $60 |
| ABBVIE INC. | $59 |
| Regeneron Healthcare Solutions, Inc. | $35 |
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: 2020-08-13
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 |
|---|---|---|---|---|
| I20200813000653 | 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 | 1,133 | 194 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 653 | 442 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 317 | 251 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 272 | 228 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 167 | 167 | $0 |
Insurance plans in this area (ZIP 94903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CA | |
| Cardiac Electrophysiology, Internal Medicine, Nuclear Medicine, Cardiovascular Disease (Cardiology) | CA | |
| Surgical Oncology | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery, Sports Medicine | CA | |
| - | CA | |
| P S Y C H I A T R Y | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| - | CA |
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