DR. DAREN ALEXANDER FOMIN (DO) – MOHS-Micrographic Surgery Physician, NPI 1982132510

DR. DAREN ALEXANDER FOMIN (DO) is a healthcare provider. based in Tripler army medical center, Hawaii. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. 91371 (SC). The NPI Number for DR. DAREN ALEXANDER FOMIN (DO) is 1982132510

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAREN ALEXANDER FOMIN (DO)
NPI
1982132510
Phone
Not provided
Address
1 JARRETT WHITE RD
Enumeration Date
26 May 2017
Last Update Date
8 April 2026

Doctor Profile

Medical School Name
CAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
8642318599
Graduation Year
2017 (9 years ago)
PAC ID
1254732993
Group Practice PAC ID
0941244065
Professional Enrollment ID
I20250324001080
Address ID
SC296214825AN1409XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:9State licenses:3Digital endpointsOther names

90 DERMATOLOGY in HI

Provider Addresses for DR. DAREN ALEXANDER FOMIN (DO)

  • 1 JARRETT WHITE RD

    TRIPLER ARMY MEDICAL CENTER, HI 968595001

    Phone:

    Type: Mailing

  • 1409 N FANT ST

    ANDERSON, SC 296214825

    Phone: (864) 231-8599

    Fax: (864) 231-8073

    Type: Mailing

  • 650 HUEBNER RD

    FT RILEY, KS 664424030

    Phone: (785) 239-8341

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $587.

Total Amount is formed as General ($587) + Research ($0) + Ownership ($0) = $587.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Lilly USA, LLC ($117).

Total Amount

$587

General + Research + Ownership

Payments

31

Total payment records

General Amount

$587

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-03-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250324001080IDermatologySCTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes224205$0
99213Established patient office or other outpatient visit, 20-29 minutes210178$0
17000Destruction of precancer skin growth, 1 growth118115$0
99204New patient office or other outpatient visit, 45-59 minutes115115$0
17110Destruction of skin growth, 1-14 growths114106$0
View full utilization report →

Insurance plans in this area (ZIP 96859)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941244065View full group profile
NameSpecialtyState
Physician AssistantGA
D E R M A T O L O G YSC
Physician AssistantSC
Physician AssistantSC

Reviews

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Frequently asked questions

Is DR. DAREN ALEXANDER FOMIN (DO) listed with a National Provider Identifier?
Yes — DR. DAREN ALEXANDER FOMIN (DO) has NPI 1982132510 on file in the registry.
Is DR. DAREN ALEXANDER FOMIN (DO) shown as active in public data?
Registry records indicate DR. DAREN ALEXANDER FOMIN (DO) maintains an active NPI.
What kind of doctor is DR. DAREN ALEXANDER FOMIN (DO)?
DR. DAREN ALEXANDER FOMIN (DO) is associated with MOHS-Micrographic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DAREN ALEXANDER FOMIN (DO)?
Travel planning: use Tripler Army Medical Center, Hawaii as the reference point for DR. DAREN ALEXANDER FOMIN (DO), then confirm.
Can I trust this NPI listing for DR. DAREN ALEXANDER FOMIN (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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