DR. TINA RENEE KINSLEY (MD) – Dermatology Physician, NPI 1598883035
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
248 DERMATOLOGY in IN
Provider Addresses for DR. TINA RENEE KINSLEY (MD)
10620 CORPORATE DR
FORT WAYNE, IN 46845
Phone: (260) 266-8392
Fax: (260) 266-8395
Type: Location
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 468451703
Phone:
Type: Mailing
1810 N Bell St
Fremont, NE 68025
Phone: (402) 505-7777
Fax: (402) 933-7767
Type: Location
16910 FRANCES ST
OMAHA, NE 681302398
Phone: (402) 505-8777
Fax: (402) 933-7767
Type: Mailing
8245 HOLLY RD STE 101
GRAND BLANC, MI 484392443
Phone: (810) 606-7500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 108 Open Payments records for all available years, with a total value of $2,263.
Total Amount is formed as General ($2,263) + Research ($0) + Ownership ($0) = $2,263.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($309).
Total Amount
$2,263
General + Research + Ownership
Payments
108
Total payment records
General Amount
$2,263
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $309 |
| GENZYME CORPORATION | $209 |
| Janssen Biotech, Inc. | $176 |
| Incyte Corporation | $160 |
| Novartis Pharmaceuticals Corporation | $156 |
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: 2023-07-27
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20230727002897 | I | Dermatology | NE | 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 | 197 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 69 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 68 | 68 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 67 | 64 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 64 | 57 | $0 |
Insurance plans in this area (ZIP 46845)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MI | 11101 | Biopsy of each additional growth of skin and/or tissue | 21 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | NE | |
| D E R M A T O L O G Y | SD |
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