DR. COURTNEY ANNE TOBIN (M.D.) – Dermatology Physician, NPI 1134432065
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
Provider Addresses for DR. COURTNEY ANNE TOBIN (M.D.)
390 OFFICE CT
FAIRVIEW HEIGHTS, IL 622082059
Phone: (618) 233-7666
Fax: (618) 233-7461
Type: Location
3635 VISTA AVE
SAINT LOUIS, MO 631102539
Phone: (314) 577-8000
Type: Location
5725 ARSENAL ST
SAINT LOUIS, MO 631391609
Phone: (314) 283-6406
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 232 Open Payments records for all available years, with a total value of $4,362.
Total Amount is formed as General ($4,362) + Research ($0) + Ownership ($0) = $4,362.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($581).
Total Amount
$4,362
General + Research + Ownership
Payments
232
Total payment records
General Amount
$4,362
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $581 |
| Dermavant Sciences, Inc. | $423 |
| Regeneron Healthcare Solutions, Inc. | $331 |
| Janssen Biotech, Inc. | $269 |
| Lilly USA, LLC | $218 |
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: 2014-12-15
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 |
|---|---|---|---|---|
| I20140605001661 | I | Dermatology | IL | TBD |
| I20141215002538 | I | Dermatology | MO | 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 | 1,881 | 318 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 631 | 490 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 536 | 412 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 341 | 298 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 312 | 240 | $0 |
Insurance plans in this area (ZIP 62208)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MO | 17003 | Destruction of 2-14 skin growths | 1027 | 218 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | MO | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL |
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