DR. RENEE LYNN DOMOZYCH PRIDE (MD) – MOHS-Micrographic Surgery Physician, NPI 1639609480
MOHS-Micrographic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
364 DERMATOLOGY in CO
Provider Addresses for DR. RENEE LYNN DOMOZYCH PRIDE (MD)
4500 E CHERRY CREEK SOUTH DR STE 600
DENVER, CO 802461500
Phone: (631) 258-4565
Type: Mailing
1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $1,034.
Total Amount is formed as General ($1,034) + Research ($0) + Ownership ($0) = $1,034.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($216).
Total Amount
$1,034
General + Research + Ownership
Payments
48
Total payment records
General Amount
$1,034
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $216 |
| PFIZER INC. | $99 |
| Amgen Inc. | $88 |
| Incyte Corporation | $79 |
| Sun Pharmaceutical Industries Inc. | $78 |
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: 2023-11-20
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 |
|---|---|---|---|---|
| I20231120003120 | I | Dermatology | CO | 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 | 347 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 149 | 92 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 97 | 85 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 83 | 76 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 73 | 61 | $0 |
Insurance plans in this area (ZIP 80246)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO |
Reviews
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