DR. ALICIA EVE OGRAM (M.D.) – Dermatology Physician, NPI 1275792525
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
61 DERMATOLOGY in ID
Provider Addresses for DR. ALICIA EVE OGRAM (M.D.)
980 W IRONWOOD DR STE 1
COEUR D ALENE, ID 838142617
Phone: (208) 625-4333
Fax: (208) 625-4334
Type: Location
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 838146051
Phone: (208) 625-5085
Fax: (208) 625-5731
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2023-11-30 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($45).
Total Amount
$58
General + Research + Ownership
Payments
3
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $45 |
| ABBVIE INC. | $13 |
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: 2017-08-01
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 |
|---|---|---|---|---|
| I20170801001824 | I | Dermatology | ID | 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 | 701 | 137 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 448 | 253 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 249 | 201 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 243 | 180 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 236 | 182 | $0 |
Insurance plans in this area (ZIP 83814)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | ID | 11101 | Biopsy of each additional growth of skin and/or tissue | 164 | 62 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | ID | |
| Physician Assistant | ID | |
| Surgical Oncology, Hematology/Oncology, General Surgery | WA | |
| Pulmonary Disease, Critical Care (Intensivists) | ID | |
| Physician Assistant | ID | |
| Undefined Non Physician Type (Specify) | ID | |
| Physician Assistant | UT | |
| Certified Nurse Midwife (Cnm) | ID | |
| Physician Assistant | ID | |
| Internal Medicine | TX |
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