DR. RADFORD DOUGLAS TANKSLEY (MD) – Dermatology Physician, NPI 1629041728
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 DR. RADFORD DOUGLAS TANKSLEY (MD)
Backus Outpatient Care Center, 111, Salem Turnpike, Norwich, New London County, Connecticut, 06360, United States
SUITE 7
NORWICH, CT 063606459
Phone: (860) 859-2262
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 121 Open Payments records for all available years, with a total value of $2,546.
Total Amount is formed as General ($2,546) + Research ($0) + Ownership ($0) = $2,546.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($654).
Total Amount
$2,546
General + Research + Ownership
Payments
121
Total payment records
General Amount
$2,546
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $654 |
| Janssen Biotech, Inc. | $406 |
| PFIZER INC. | $152 |
| Sun Pharmaceutical Industries Inc. | $146 |
| Amgen Inc. | $125 |
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: 2005-10-13
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 |
|---|---|---|---|---|
| I20051013000337 | 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 | 469 | 395 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 374 | 81 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 111 | 100 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 87 | 80 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 54 | 48 | $0 |
Insurance plans in this area (ZIP 06360)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Nurse Practitioner | CT | |
| D E R M A T O L O G Y | PA | |
| Physician Assistant | CT | |
| D E R M A T O L O G Y | CT | |
| D E R M A T O L O G Y | VT |
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