DR. DEAN L MITTMAN (MD) – Dermatology Physician, NPI 1043359292
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
Provider Addresses for DR. DEAN L MITTMAN (MD)
1515 SAVANNAH RD
LEWES, DE 199581675
Phone: (302) 645-3499
Fax: (302) 644-4830
Type: Mailing
PO BOX 2580
SPRINGFIELD, MO 658012580
Phone: (417) 829-4620
Type: Mailing
2115 S FREMONT AVE
SUITE 2100
SPRINGFIELD, MO 658042239
Phone: (417) 820-7720
Fax: (417) 820-7223
Type: Location
18947 JOHN J WILLIAMS HWY UNIT 201
REHOBOTH BEACH, DE 199714476
Phone: (302) 645-4801
Fax: (888) 987-4173
Type: Location
2115 S Fremont Ave
SUITE 2100
Springfield, MO 658042239
Phone: (417) 820-7720
Fax: (417) 820-7223
Type: Location
424 Savannah Rd
Lewes, DE 199581462
Phone: (302) 645-4801
Fax: (888) 987-4173
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-08-01
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20250801004089 | I | Dermatology | DE | 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 | 1,191 | 933 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,014 | 318 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 641 | 555 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 617 | 491 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 300 | 265 | $0 |
Insurance plans in this area (ZIP 19958)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MO | 11101 | Biopsy of each additional growth of skin and/or tissue | 194 | 140 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Internal Medicine | DE | |
| - | DE | |
| - | DE | |
| Family Practice | DE | |
| Internal Medicine | DE | |
| Infectious Disease, Internal Medicine | DE | |
| Physician Assistant | MD | |
| Nurse Practitioner | DE | |
| - | DE |
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