AMY SIMON ROSS (MD) – MOHS-Micrographic Surgery Physician, NPI 1659564193
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Loading map...
Provider Addresses for AMY SIMON ROSS (MD)
Woodlands Parkway, Palm Harbor, Pinellas County, Florida, 34677, United States
PALM HARBOR, FL 346853493
Phone: (727) 786-3810
Fax: (727) 786-3855
Type: Location
4197 Woodlands Pkwy
Palm Harbor, FL 346853493
Phone: (727) 786-3810
Fax: (727) 786-3855
Type: Location
1801 S Osprey Ave Unit 201
Sarasota, FL 342393625
Phone: (941) 957-4767
Fax: (941) 955-7334
Type: Location
4919 MEMORIAL HWY STE 150
TAMPA, FL 336347516
Phone: (813) 333-1528
Fax: (813) 255-2818
Type: Mailing
1425 S HOWARD AVE
TAMPA, FL 336063491
Phone: (813) 253-2635
Fax: (813) 254-7241
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $124.
Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: ABBVIE INC. ($67).
Total Amount
$124
General + Research + Ownership
Payments
8
Total payment records
General Amount
$124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $67 |
| Galderma Laboratories, L.P. | $29 |
| Janssen Biotech, Inc. | $19 |
| Kerecis Limited | $9 |
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: 2008-07-29
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 |
|---|---|---|---|---|
| I20080729000222 | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 232 | 197 | $0 |
| 96900 | Application of ultraviolet light to skin | 188 | 13 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 182 | 116 | $0 |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 99 | 65 | $0 |
| 96567 | Application of light to destroy precancer skin growth | 86 | 65 | $0 |
Insurance plans in this area (ZIP 34685)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| - | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.