DR. TERI J COTTINGHAM (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1760437107
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. TERI J COTTINGHAM (M.D.)
999, North Curtis Road, Boise, Ada County, Idaho, 83706, United States
STE 505
BOISE, ID 837061336
Phone: (208) 327-9521
Fax: (208) 327-9524
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)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-09-08
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 |
|---|---|---|---|---|
| I20050908000127 | I | Micrographic Dermatologic Surgery (Mds) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83706)
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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 | 28 | 17 |
| DERMATOLOGY | ID | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 53 | 46 |
| DERMATOLOGY | ID | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OR | |
| Physician Assistant | NV | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | NV | |
| - | AK | |
| - | ID | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | TX | |
| Physician Assistant | OR | |
| Physician Assistant | OR |
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