DR. ETHAN THACHER ROUTT (MD) – MOHS-Micrographic Surgery Physician, NPI 1194112391
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
90 DERMATOLOGY in HI
Provider Addresses for DR. ETHAN THACHER ROUTT (MD)
2226 LILIHA ST STE 302
HONOLULU, HI 968171605
Phone: (808) 585-8008
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 42 Open Payments records for all available years, with a total value of $1,287.
Total Amount is formed as General ($1,287) + Research ($0) + Ownership ($0) = $1,287.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($437).
Total Amount
$1,287
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,287
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $437 |
| Regeneron Healthcare Solutions, Inc. | $284 |
| Incyte Corporation | $113 |
| Lilly USA, LLC | $93 |
| PFIZER INC. | $86 |
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: 2020-11-18
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 |
|---|---|---|---|---|
| I20201118001390 | I | Dermatology | HI | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 90 | 90 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 84 | 71 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 81 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 46 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 50 | 35 | $0 |
Insurance plans in this area (ZIP 96817)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds), Dermatology | HI |
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