DR. MICHELLE LUNDEEN PENNIE (MD) – Dermatology Physician, NPI 1497932784
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 DR. MICHELLE LUNDEEN PENNIE (MD)
Pine Street, Englewood, Sarasota County, Florida, 34223, United States
STE 123
ENGLEWOOD, FL 342234418
Phone: (941) 474-8811
Fax: (941) 473-0058
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 35 Open Payments records for all available years, with a total value of $1,139.
Total Amount is formed as General ($1,139) + Research ($0) + Ownership ($0) = $1,139.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($294).
Total Amount
$1,139
General + Research + Ownership
Payments
35
Total payment records
General Amount
$1,139
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $294 |
| MERZ NORTH AMERICA, INC. | $189 |
| E.R. Squibb & Sons, L.L.C. | $122 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $90 |
| Organogenesis Inc. | $85 |
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: 2011-08-08
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 |
|---|---|---|---|---|
| I20110808000668 | 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 | 1,459 | 291 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 441 | 382 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 361 | 323 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 288 | 242 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 261 | 261 | $0 |
Insurance plans in this area (ZIP 34223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL |
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