MICKI N LY (M.D.) – Procedural Dermatology Physician, NPI 1346299435
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
90 DERMATOLOGY in HI
Provider Addresses for MICKI N LY (M.D.)
PO BOX 3010
KAHULUI, HI 967333010
Phone: (808) 877-6526
Fax: (808) 871-6701
Type: Mailing
89 HOOKELE ST
SUITE 101
KAHULUI, HI 967323513
Phone: (808) 877-6526
Fax: (808) 871-6701
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $943.
Total Amount is formed as General ($943) + Research ($0) + Ownership ($0) = $943.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($676).
Total Amount
$943
General + Research + Ownership
Payments
57
Total payment records
General Amount
$943
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $676 |
| GENZYME CORPORATION | $48 |
| Regeneron Healthcare Solutions, Inc. | $47 |
| Janssen Biotech, Inc. | $29 |
| Incyte Corporation | $23 |
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: 2005-06-22
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 |
|---|---|---|---|---|
| I20050622000600 | 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 |
|---|---|---|---|---|
| 17004 | Destruction of precancer skin growth, 15 or more growths | 671 | 173 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 659 | 176 | $0 |
| 10061 | Complicated or multiple drainage of skin abscess | 119 | 43 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 114 | 114 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 98 | 70 | $0 |
Insurance plans in this area (ZIP 96733)
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