WILLIE FORREST JR. RICHARDSON (MD) – Dermatology Physician, NPI 1043328230
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
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Provider Addresses for WILLIE FORREST JR. RICHARDSON (MD)
1120, Bayview Drive, Bay Harbor, Fort Lauderdale, Broward County, Florida, 33304, United States
FORT LAUDERDALE, FL 333042505
Phone: (954) 537-4106
Fax: (954) 537-4186
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 27 Open Payments records for all available years, with a total value of $642.
Total Amount is formed as General ($642) + Research ($0) + Ownership ($0) = $642.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GENZYME CORPORATION ($187).
Total Amount
$642
General + Research + Ownership
Payments
27
Total payment records
General Amount
$642
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $187 |
| Merz North America, Inc. | $93 |
| ABBVIE INC. | $90 |
| Novartis Pharmaceuticals Corporation | $49 |
| E.R. Squibb & Sons, L.L.C. | $49 |
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: 2005-10-21
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 |
|---|---|---|---|---|
| I20051021000094 | I | Dermatology | FL | 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 | 935 | 147 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 675 | 285 | $0 |
| Q4262 | Dual layer impax membrane, per square centimeter | 442 | 19 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 331 | 199 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 250 | 172 | $0 |
Insurance plans in this area (ZIP 33304)
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Provider's Procedures
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