DR. JACE JAMES RICKSTREW (MD) – Dermatology Physician, NPI 1992209472
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
91 DERMATOLOGY in NV
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Provider Addresses for DR. JACE JAMES RICKSTREW (MD)
9300 E 29TH ST N STE 310
WICHITA, KS 672262160
Phone: (316) 612-1833
Fax: (316) 612-2420
Type: Mailing
MountainView Hospital, 3100, North Tenaya Way, Las Vegas, Clark County, Nevada, 89128, United States
GRADUATE MEDICAL EDUCATION
LAS VEGAS, NV 891280431
Phone:
Type: Mailing
828 Elmhurst Blvd
Salina, KS 674017406
Phone: (785) 827-2500
Fax: (785) 827-2515
Type: Location
4201 ANDERSON AVE STE F
MANHATTAN, KS 665037603
Phone: (785) 539-4645
Fax: (785) 539-1655
Type: Location
6601 VAUGHT RANCH RD STE 200
AUSTIN, TX 787302309
Phone: (512) 628-0465
Fax: (512) 233-2711
Type: Mailing
2504 RIDGE RD STE 102
ROCKWALL, TX 750872570
Phone: (214) 771-3100
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 $1,563.
Total Amount is formed as General ($1,563) + Research ($0) + Ownership ($0) = $1,563.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($377).
Total Amount
$1,563
General + Research + Ownership
Payments
37
Total payment records
General Amount
$1,563
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 |
|---|---|
| Janssen Biotech, Inc. | $377 |
| GENZYME CORPORATION | $286 |
| E.R. Squibb & Sons, L.L.C. | $209 |
| Kerecis Limited | $134 |
| ConvaTec Inc. | $133 |
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: 2023-12-12
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 |
|---|---|---|---|---|
| I20220627002194 | I | Dermatology | TX | TBD |
| I20231212000847 | I | Dermatology | KS | 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 | 96 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 30 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 29 | 26 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 17 | 16 | $0 |
Insurance plans in this area (ZIP 67226)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| D E R M A T O L O G Y | UT | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS |
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