DR. KAISA M. VANDERKOOI (M.D.) – Dermatology Physician, NPI 1427269885
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Provider Addresses for DR. KAISA M. VANDERKOOI (M.D.)
2181 ORANGE AVE E
TALLAHASSEE, FL 323116144
Phone: (734) 306-2299
Type: Mailing
PO BOX 13859
TALLAHASSEE, FL 323173859
Phone: (850) 205-6232
Fax: (850) 402-9130
Type: Mailing
3 Racetrack Rd NE
Fort Walton Beach, FL 325471875
Phone: (850) 233-3376
Fax: (850) 522-8354
Type: Location
Dermatology Advanced Care, 1707, Riggins Road, Tallahassee, Leon County, Florida, 32308, United States
TALLAHASSEE, FL 323085317
Phone: (850) 877-4134
Fax: (850) 402-9130
Type: Location
2505 HARRISON AVE
PANAMA CITY, FL 324054464
Phone: (850) 233-3376
Fax: (850) 522-8354
Type: Mailing
2181 Orange Ave E
Tallahassee, FL 323116144
Phone: (734) 306-2299
Type: Location
1707 Riggins Rd
Tallahassee, FL 323085317
Phone: (850) 877-4134
Fax: (850) 402-9130
Type: Location
1474 MARKET ST
TALLAHASSEE, FL 323121768
Phone: (850) 233-3376
Fax: (850) 522-8354
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $683.
Total Amount is formed as General ($683) + Research ($0) + Ownership ($0) = $683.
Last reported payment date: 2023-09-12 • Largest payer in this snapshot: UCB, Inc. ($260).
Total Amount
$683
General + Research + Ownership
Payments
21
Total payment records
General Amount
$683
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $260 |
| ABBVIE INC. | $143 |
| PFIZER INC. | $54 |
| Lilly USA, LLC | $38 |
| LEO Pharma Inc. | $36 |
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: 2019-11-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20120713000080 | I | Dermatology | FL | TBD |
| I20191117000006 | I | Dermatology | GA | 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 | 343 | 251 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 185 | 155 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 176 | 51 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 146 | 117 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 115 | 85 | $0 |
Insurance plans in this area (ZIP 32311)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | FL | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 27 | 25 |
| DERMATOLOGY | FL | 17003 | Destruction of 2-14 skin growths | 50 | 25 |
| DERMATOLOGY | FL | 77300 | Calculation of radiation therapy dose | 16 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Dermatology, Pathology | FL | |
| Nurse Practitioner | AL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | AL |
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