BRANDON LYNN MINER (D.O) – MOHS-Micrographic Surgery Physician, NPI 1528279189
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
61 DERMATOLOGY in ID
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Provider Addresses for BRANDON LYNN MINER (D.O)
2085, Providence Way, Idaho Falls, Bonneville County, Idaho, 83404, United States
IDAHO FALLS, ID 834044945
Phone: (208) 525-4888
Fax: (208) 525-4885
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 78 Open Payments records for all available years, with a total value of $1,483.
Total Amount is formed as General ($1,483) + Research ($0) + Ownership ($0) = $1,483.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($482).
Total Amount
$1,483
General + Research + Ownership
Payments
78
Total payment records
General Amount
$1,483
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $482 |
| ABBVIE INC. | $334 |
| LEO Pharma Inc. | $110 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $70 |
| Lilly USA, LLC | $58 |
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: 2013-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100819000659 | I | Dermatology | WY | TBD |
| I20130919000050 | 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 | 2,933 | 407 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 694 | 473 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 618 | 455 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 301 | 246 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 252 | 28 | $0 |
Insurance plans in this area (ZIP 83404)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| D E R M A T O L O G Y | ID | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | ID | |
| Physician Assistant | ID |
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