ILYA LIM (MD) – Dermatology Physician, NPI 1235450479
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 DERMATOLOGY in CT
Provider Addresses for ILYA LIM (MD)
15 YORK STREET
NEW HAVEN, CT 06510
Phone: (203) 785-4092
Fax: (203) 785-7637
Type: Mailing
1625 STRAITS TPKE STE 306
MIDDLEBURY, CT 067621836
Phone: (203) 757-8919
Fax: (203) 756-4697
Type: Location
3443 Tamiami Trl Ste 1A
Port Charlotte, FL 339528159
Phone: (813) 321-1786
Fax: (813) 321-1787
Type: Location
PO BOX 15853
SARASOTA, FL 342771853
Phone: (941) 559-7999
Type: Mailing
1617 S TUTTLE AVE FL 3
SARASOTA, FL 342393132
Phone: (941) 559-7999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $1,049.
Total Amount is formed as General ($1,049) + Research ($0) + Ownership ($0) = $1,049.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Smith+Nephew, Inc. ($141).
Total Amount
$1,049
General + Research + Ownership
Payments
38
Total payment records
General Amount
$1,049
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $141 |
| Organogenesis Inc. | $135 |
| Johnson & Johnson Vision Care, Inc. | $127 |
| ABBVIE INC. | $69 |
| Horizon Therapeutics plc | $66 |
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: 2022-12-05
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 |
|---|---|---|---|---|
| I20221205002705 | I | Dermatology | FL | 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 | 1,244 | 188 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 330 | 237 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 314 | 206 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 306 | 242 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 221 | 130 | $0 |
Insurance plans in this area (ZIP 06510)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | FL | |
| - | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Physician Assistant | FL |
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