OMAR A IBRAHIMI (MD, PHD) – MOHS-Micrographic Surgery Physician, NPI 1508061128
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 DERMATOLOGY in CT
Provider Addresses for OMAR A IBRAHIMI (MD, PHD)
999 SUMMER ST STE 305
STAMFORD, CT 069055513
Phone: (203) 428-4440
Fax: (901) 221-4916
Type: Location
2777 SUMMER ST STE 600
STAMFORD, CT 069054323
Phone: (203) 428-4440
Fax: (901) 221-4916
Type: Location
60 Commerce Park Ste C
Milford, CT 064603513
Phone: (203) 428-4440
Fax: (901) 221-4916
Type: Location
999, Summer Street, Northfield, Stamford, Fairfield County, Connecticut, 06905, United States
STE 305
STAMFORD, CT 069055513
Phone: (203) 428-4440
Fax: (203) 890-9449
Type: Mailing
21, South Road, Farmington, Hartford County, Connecticut, 06032, United States
DERMATOLOGY
FARMINGTON, CT 060322482
Phone: (860) 679-4600
Fax: (860) 679-1248
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $9,896.
Total Amount is formed as General ($9,896) + Research ($0) + Ownership ($0) = $9,896.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($9,076).
Total Amount
$9,896
General + Research + Ownership
Payments
47
Total payment records
General Amount
$9,896
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 |
|---|---|
| ABBVIE INC. | $9,076 |
| REVANCE THERAPEUTICS, INC. | $320 |
| Allergan, Inc. | $238 |
| Janssen Biotech, Inc. | $147 |
| Ortho Dermatologics, a division of Bausch Health US, LLC | $52 |
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: 2011-06-09
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 |
|---|---|---|---|---|
| I20110609000300 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 425 | 338 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 357 | 304 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 250 | 250 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 195 | 170 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 152 | 116 | $0 |
Insurance plans in this area (ZIP 06905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CT | |
| D E R M A T O L O G Y | CT |
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