DR. RAYMOND R KNISLEY (DO) – Dermatology Physician, NPI 1932189008
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. RAYMOND R KNISLEY (DO)
405, West Bloomingdale Avenue, Brandon, Hillsborough County, Florida, 33511, United States
BRANDON, FL 335117401
Phone: (813) 789-7616
Type: Mailing
421, Linden Lane, Lake Wales, Polk County, Florida, 33853, United States
LAKE WALES, FL 338534342
Phone: (863) 676-3411
Fax: (863) 676-1015
Type: Location
7652 ASHLEY PARK CT STE 305
ORLANDO, FL 328356199
Phone: (407) 299-7333
Fax: (863) 589-5639
Type: Mailing
1255 STATE ROAD 60 E STE 100
LAKE WALES, FL 338534310
Phone: (863) 589-5685
Fax: (863) 589-5639
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $1,537.
Total Amount is formed as General ($1,537) + Research ($0) + Ownership ($0) = $1,537.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Kerecis Limited ($440).
Total Amount
$1,537
General + Research + Ownership
Payments
41
Total payment records
General Amount
$1,537
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $440 |
| Janssen Biotech, Inc. | $323 |
| Organogenesis Inc. | $244 |
| LEO Pharma Inc. | $131 |
| E.R. Squibb & Sons, L.L.C. | $65 |
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: 2014-07-08
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 |
|---|---|---|---|---|
| I20140708000798 | 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 | 671 | 84 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 149 | 98 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 146 | 92 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 124 | 86 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 94 | 74 | $0 |
Insurance plans in this area (ZIP 33511)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Plastic And Reconstructive Surgery | FL | |
| A L L E R G Y/ I M M U N O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Plastic And Reconstructive Surgery, Otolaryngology | FL | |
| Family Practice, Dermatology | TX |
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