MICHAEL PATRICK NOONAN (M.D.) – Dermatology Physician, NPI 1609892371
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 DERMATOLOGY in CT
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Provider Addresses for MICHAEL PATRICK NOONAN (M.D.)
Hawley Lane Professional Center, 160, Hawley Lane, Trumbull, Fairfield County, Connecticut, 06611, United States
TRUMBULL, CT 066115300
Phone: (203) 377-0639
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)
CMS reports 274 Open Payments records for all available years, with a total value of $5,907.
Total Amount is formed as General ($5,907) + Research ($0) + Ownership ($0) = $5,907.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($762).
Total Amount
$5,907
General + Research + Ownership
Payments
274
Total payment records
General Amount
$5,907
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-06-24
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 |
|---|---|---|---|---|
| I20100624000136 | 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 | 4,179 | 602 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,188 | 841 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 927 | 682 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 326 | 253 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 272 | 254 | $0 |
Insurance plans in this area (ZIP 06611)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| P A T H O L O G Y | CT | |
| Physician Assistant | CT | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | CT | |
| Physician Assistant | CT | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | CT | |
| Dermatology, Internal Medicine | CT |
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