ISADORE TARANTINO – Dermatology Physician, NPI 1689036261
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
99 DERMATOLOGY in KS
Provider Addresses for ISADORE TARANTINO
6901 W 121st St
Overland Park, KS 662092007
Phone: (913) 303-7377
Type: Location
5204 N BELT HWY
SAINT JOSEPH, MO 645061211
Phone: (913) 303-7377
Fax: (816) 233-3983
Type: Mailing
Main Street, Gordon, Houston County, Alabama, United States
HOUSTON, TX 770304501
Phone: (713) 791-9966
Type: Mailing
6901 W 121ST ST
OVERLAND PARK, KS 662092007
Phone: (913) 661-1755
Fax: (913) 242-6921
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 $300.
Total Amount is formed as General ($300) + Research ($0) + Ownership ($0) = $300.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($116).
Total Amount
$300
General + Research + Ownership
Payments
5
Total payment records
General Amount
$300
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $116 |
| Lilly USA, LLC | $106 |
| Organogenesis Inc. | $29 |
| Kerecis Limited | $26 |
| MIMEDX Group, Inc. | $23 |
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: 2022-06-27
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 |
|---|---|---|---|---|
| I20210308001637 | I | Dermatology | KS | TBD |
| I20220627000597 | 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 | 258 | 50 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 156 | 126 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 80 | 54 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 80 | 80 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 57 | $0 |
Insurance plans in this area (ZIP 66209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | MO | |
| Family Practice | MO | |
| Internal Medicine | MO | |
| Emergency Medicine | GA | |
| - | MO | |
| - | MO | |
| Family Practice | MO | |
| Nurse Practitioner | KS |
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