DR. FERN ELLEN MAYER (M.D.) – Dermatology Physician, NPI 1386630085
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 DERMATOLOGY in CT
Provider Addresses for DR. FERN ELLEN MAYER (M.D.)
132, Morgan Street, Revonah Manor Historic District, Northfield, Glenbrook, Stamford, Western Connecticut Planning Region, Connecticut, 06905, United States
STAMFORD, CT 069055431
Phone: (203) 969-0123
Fax: (203) 975-0760
Type: Mailing
260 LONG RIDGE RD STE D180
STAMFORD, CT 069021638
Phone: (203) 969-0123
Fax: (203) 975-0760
Type: Mailing
260 LONG RIDGE RD STE 180
STAMFORD, CT 069021638
Phone: (203) 969-0123
Fax: (203) 975-0760
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $730.
Total Amount is formed as General ($730) + Research ($0) + Ownership ($0) = $730.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: GENZYME CORPORATION ($143).
Total Amount
$730
General + Research + Ownership
Payments
26
Total payment records
General Amount
$730
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $143 |
| LEO Pharma Inc. | $124 |
| Ortho Dermatologics, a division of Bausch Health US, LLC | $92 |
| ABBVIE INC. | $53 |
| Lilly USA, LLC | $49 |
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: 2010-10-21
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 |
|---|---|---|---|---|
| I20101021000079 | I | Dermatology | CT | 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 | 740 | 148 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 628 | 416 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 299 | 215 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 194 | 158 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 131 | 107 | $0 |
Insurance plans in this area (ZIP 06905)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | CT | 17003 | Destruction of 2-14 skin growths | 873 | 133 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds), Dermatology | NY | |
| - | CT | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MN | |
| Nurse Practitioner | CT | |
| D E R M A T O L O G Y | CT | |
| Physician Assistant | MA | |
| P A T H O L O G Y | TX | |
| D E R M A T O L O G Y | CT | |
| Physician Assistant | CT | |
| D E R M A T O L O G Y | MI |
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