BISHR AL DABAGH (MD) – MOHS-Micrographic Surgery Physician, NPI 1154565661
MOHS-Micrographic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
145 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in FL
Provider Addresses for BISHR AL DABAGH (MD)
316 Paseo Reyes Dr
St Augustine, FL 320958464
Phone: (904) 544-5800
Fax: (904) 544-5800
Type: Location
118 GATEWAY BLVD STE A
MOORESVILLE, NC 281176542
Phone: (704) 230-1302
Fax: (704) 230-1284
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $890.
Total Amount is formed as General ($890) + Research ($0) + Ownership ($0) = $890.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($304).
Total Amount
$890
General + Research + Ownership
Payments
34
Total payment records
General Amount
$890
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $304 |
| Dermavant Sciences, Inc. | $104 |
| ABBVIE INC. | $77 |
| Organogenesis Inc. | $74 |
| ConvaTec Inc. | $74 |
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: 2020-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20150501000461 | I | Dermatology | MI | TBD |
| I20191101000274 | I | Micrographic Dermatologic Surgery (Mds) | FL | TBD |
| I20200205003135 | I | Micrographic Dermatologic Surgery (Mds) | NC | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 2,400 | 12 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 828 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 680 | 286 | $0 |
| Q4186 | Epifix, per square centimeter | 385 | 36 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 351 | 267 | $0 |
Insurance plans in this area (ZIP 32095)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| A N E S T H E S I O L O G Y | MN | |
| Nurse Practitioner | SD | |
| - | MN | |
| Diagnostic Radiology | MN | |
| N E U R O L O G Y | MN | |
| - | ND | |
| - | MN | |
| O P T O M E T R Y | SD | |
| Nurse Practitioner | ND |
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