ALISA FUNKE (MD) – Dermatology Physician, NPI 1831229871
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
61 DERMATOLOGY in ID
Provider Addresses for ALISA FUNKE (MD)
1618 MILLENNIUM WAY
SUITE 100
MERIDIAN, ID 836426457
Phone: (208) 884-3376
Fax: (208) 884-0858
Type: Mailing
876A E Main St
Bedford, VA 245232904
Phone: (434) 947-5321
Fax: (434) 947-5324
Type: Location
1896 FOX HILL RD
LYNCHBURG, VA 245036497
Phone: (434) 907-3174
Type: Mailing
2007 TATE SPRINGS RD
LYNCHBURG, VA 245011111
Phone: (434) 947-5321
Fax: (434) 947-5324
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $889.
Total Amount is formed as General ($889) + Research ($0) + Ownership ($0) = $889.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($309).
Total Amount
$889
General + Research + Ownership
Payments
37
Total payment records
General Amount
$889
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $309 |
| Organogenesis Inc. | $130 |
| Novartis Pharmaceuticals Corporation | $120 |
| Lilly USA, LLC | $68 |
| Integra LifeSciences Corporation | $42 |
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: 2016-07-15
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 |
|---|---|---|---|---|
| I20160715001800 | I | Micrographic Dermatologic Surgery (Mds) | VA | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 348 | 302 | $0 |
| Q4229 | Cogenex amniotic membrane, per square centimeter | 302 | 17 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 140 | 102 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 107 | 59 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 97 | 94 | $0 |
Insurance plans in this area (ZIP 83642)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Physician Assistant | VA | |
| D E R M A T O L O G Y | NY | |
| D E R M A T O L O G Y | VA |
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