DR. JEREMY ETHAN MOSS (M.D., PH.D.) – Dermatology Physician, NPI 1689625188
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 DERMATOLOGY in CT
Provider Addresses for DR. JEREMY ETHAN MOSS (M.D., PH.D.)
1078 W Main St
Waterbury, CT 067082651
Phone: (203) 757-1585
Fax: (203) 757-0300
Type: Location
4700 EXCHANGE CT STE 110
BOCA RATON, FL 334314450
Phone: (561) 948-0291
Fax: (856) 185-9042
Type: Mailing
1343 BOSTON POST RD APT 101
MADISON, CT 064433481
Phone: (860) 259-4037
Fax: (860) 664-0285
Type: Mailing
4639, Main Street, Bridgeport, Fairfield County, Connecticut, 06606, United States
BRIDGEPORT, CT 066061838
Phone: (203) 374-5546
Fax: (203) 371-4056
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 993 Open Payments records for all available years, with a total value of $577,988.
Total Amount is formed as General ($577,988) + Research ($0) + Ownership ($0) = $577,988.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Janssen Biotech, Inc. ($139,415).
Total Amount
$577,988
General + Research + Ownership
Payments
993
Total payment records
General Amount
$577,988
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $139,415 |
| Lilly USA, LLC | $100,663 |
| ABBVIE INC. | $69,219 |
| Dermavant Sciences, Inc. | $34,528 |
| Incyte Corporation | $27,692 |
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: 2005-08-09
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 |
|---|---|---|---|---|
| I20050809000663 | 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 | 2,581 | 372 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 761 | 621 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 641 | 511 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 516 | 421 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 452 | 395 | $0 |
Insurance plans in this area (ZIP 06708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Physician Assistant | FL | |
| - | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| - | CT | |
| Physician Assistant | CT |
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