JAMIE SUROVIK (MD) – Dermatology Physician, NPI 1699092221
Dermatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
364 DERMATOLOGY in CO
Provider Addresses for JAMIE SUROVIK (MD)
12645 E EUCLID DR
CENTENNIAL, CO 801116437
Phone: (303) 493-1910
Fax: (303) 493-1915
Type: Mailing
30960 Stagecoach Blvd Ste W140
Evergreen, CO 804397897
Phone: (303) 670-7065
Fax: (303) 674-6055
Type: Location
710 Summit Blvd
Frisco, CO 804435881
Phone: (970) 668-9650
Fax: (970) 668-9654
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $7,812.
Total Amount is formed as General ($7,812) + Research ($0) + Ownership ($0) = $7,812.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($6,995).
Total Amount
$7,812
General + Research + Ownership
Payments
46
Total payment records
General Amount
$7,812
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $6,995 |
| Dermavant Sciences, Inc. | $164 |
| E.R. Squibb & Sons, L.L.C. | $125 |
| Novartis Pharmaceuticals Corporation | $117 |
| ABBVIE INC. | $117 |
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: 2010-12-17
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 |
|---|---|---|---|---|
| I20101217000714 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,114 | 859 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 757 | 196 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 356 | 294 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 304 | 265 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 112 | 103 | $0 |
Insurance plans in this area (ZIP 80111)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | CO | 17003 | Destruction of 2-14 skin growths | 741 | 171 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CO | |
| - | CO | |
| Micrographic Dermatologic Surgery (Mds), Dermatology, Obstetrics/Gynecology | 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 | |
| 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 | FL | |
| Micrographic Dermatologic Surgery (Mds) | CO |
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