DR. TYLER DURAZZO (M.D.) – Dermatology Physician, NPI 1457649063
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 DERMATOLOGY in CT
Provider Addresses for DR. TYLER DURAZZO (M.D.)
4 CORPORATE DRIVE
SUITE 386
SHELTON, CT 06484
Phone:
Type: Mailing
1450 CHAPEL ST
NEW HAVEN, CT 065114405
Phone: (203) 789-3034
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $1,164.
Total Amount is formed as General ($1,164) + Research ($0) + Ownership ($0) = $1,164.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: LEO Pharma Inc. ($273).
Total Amount
$1,164
General + Research + Ownership
Payments
64
Total payment records
General Amount
$1,164
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LEO Pharma Inc. | $273 |
| E.R. Squibb & Sons, L.L.C. | $266 |
| Janssen Biotech, Inc. | $261 |
| PFIZER INC. | $118 |
| Arcutis Biotherapeutics, Inc. | $88 |
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: 2015-10-29
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 |
|---|---|---|---|---|
| I20151029002211 | 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 | 1,076 | 170 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 405 | 326 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 297 | 238 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 152 | 152 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 141 | 130 | $0 |
Insurance plans in this area (ZIP 06484)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | CT | 11101 | Biopsy of each additional growth of skin and/or tissue | 14 | 13 |
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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