DR. RENATA PRADO DE FUCCIO OLIVEIRA (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1851411409
MOHS-Micrographic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
47 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in CO
Provider Addresses for DR. RENATA PRADO DE FUCCIO OLIVEIRA (M.D.)
9348 GRAND CORDERA PKWY
SUITE 160
COLORADO SPRINGS, CO 809247023
Phone: (719) 355-1585
Fax: (719) 623-2983
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)
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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: 2011-09-21
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 |
|---|---|---|---|---|
| I20110921000484 | I | Micrographic Dermatologic Surgery (Mds) | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 323 | 255 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 193 | 42 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 126 | 109 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 118 | 79 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 85 | 68 | $0 |
Insurance plans in this area (ZIP 80924)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | CO | 11101 | Biopsy of each additional growth of skin and/or tissue | 80 | 46 |
| DERMATOLOGY | CO | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 21 | 20 |
| DERMATOLOGY | CO | 17003 | Destruction of 2-14 skin growths | 405 | 79 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Otolaryngology, Plastic And Reconstructive Surgery | CO | |
| Physician Assistant | MN | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Physician Assistant | NV | |
| Dermatology, Pathology | CO | |
| D E R M A T O L O G Y | CO | |
| Physician Assistant | CO |
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