ELLIOTT HARRISON CAMPBELL (MD) – MOHS-Micrographic Surgery Physician, NPI 1265994412
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
23 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in IN
Provider Addresses for ELLIOTT HARRISON CAMPBELL (MD)
1633 N Capitol Ave Ste 640
Indianapolis, IN 462021281
Phone: (317) 962-8881
Fax: (317) 962-0838
Type: Location
1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $205.
Total Amount is formed as General ($205) + Research ($0) + Ownership ($0) = $205.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Janssen Biotech, Inc. ($150).
Total Amount
$205
General + Research + Ownership
Payments
5
Total payment records
General Amount
$205
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $150 |
| MIMEDX Group, Inc. | $35 |
| Organogenesis Inc. | $20 |
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: 2024-06-12
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 |
|---|---|---|---|---|
| I20240612003367 | I | Micrographic Dermatologic Surgery (Mds) | KY | 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 | 58 | 15 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 33 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | KY | |
| Nurse Practitioner | KY | |
| D E R M A T O L O G Y | KY | |
| D E R M A T O L O G Y | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| D E R M A T O L O G Y | KY | |
| Physician Assistant | KY | |
| D E R M A T O L O G Y | OH |
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