ANDREA WILLEY (MD) – MOHS-Micrographic Surgery Physician, NPI 1952317455
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 ANDREA WILLEY (MD)
2277 FAIR OAKS BLVD STE 402
SACRAMENTO, CA 958255596
Phone: (916) 922-7546
Fax: (916) 922-6647
Type: Mailing
Fair Oaks Boulevard, Fair Oaks, Sacramento County, California, 95628-7416, United States
SUITE 402
SACRAMENTO, CA 958255533
Phone: (916) 922-7546
Fax: (916) 922-6647
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $1,953.
Total Amount is formed as General ($1,953) + Research ($0) + Ownership ($0) = $1,953.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($1,305).
Total Amount
$1,953
General + Research + Ownership
Payments
17
Total payment records
General Amount
$1,953
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,305 |
| Arcutis Biotherapeutics, Inc. | $245 |
| Incyte Corporation | $122 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $122 |
| UCB, Inc. | $80 |
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: 2007-11-06
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 |
|---|---|---|---|---|
| I20071106000856 | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 426 | 335 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 271 | 149 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 103 | 14 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 100 | 94 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 78 | 64 | $0 |
Insurance plans in this area (ZIP 95825)
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