MICHAEL RENZI (MD) – MOHS-Micrographic Surgery Physician, NPI 1497272090

MICHAEL RENZI (MD) is a healthcare provider. based in Somerset, Kentucky. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 56932 (KY). The NPI Number for MICHAEL RENZI (MD) is 1497272090

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL RENZI (MD)
NPI
1497272090
Phone
(859) 263-4444
Address
120 Tradepark Dr Ste B
Enumeration Date
24 August 2017
Last Update Date
13 August 2024

Doctor Profile

Medical School Name
COOPER MEDICAL SCHOOL OF ROWAN UNIVERSITY
Secondary Phone
8592634444
Graduation Year
2017 (9 years ago)
PAC ID
3971983438
Group Practice PAC ID
3476457532
Professional Enrollment ID
I20220630002015
Address ID
KY403531755MT611XXWAYX302

Contacts

Secure Messaging
mrenzi@directaddress.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

166 DERMATOLOGY in KY

Provider Addresses for MICHAEL RENZI (MD)

  • 120 Tradepark Dr Ste B

    Somerset, KY 425033454

    Phone: (859) 263-4444

    Fax: (859) 263-6781

    Type: Location

  • 108 Diagnostic Dr

    Frankfort, KY 406016556

    Phone: (859) 263-4444

    Fax: (859) 263-6781

    Type: Location

  • 1 Cooper Plaza, Haddon Avenue, Lanning Square, Camden, Camden County, New Jersey, 08103, United States

    CAMDEN, NJ 081031461

    Phone:

    Type: Mailing

  • 611 TIGHLMAN WAY STE B

    MT STERLING, KY 403531755

    Phone: (859) 263-4444

    Fax: (859) 263-6781

    Type: Location

  • 1221 S BROADWAY

    LEXINGTON, KY 405042701

    Phone: (859) 258-6200

    Fax: (859) 258-6203

    Type: Mailing

  • 2424 HARRODSBURG RD STE 200

    LEXINGTON, KY 405032112

    Phone: (859) 278-9492

    Type: Mailing

  • 2424 HARRODSBURG RD

    LEXINGTON, KY 405032106

    Phone: (859) 278-9492

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $373.

Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($96).

Total Amount

$373

General + Research + Ownership

Payments

17

Total payment records

General Amount

$373

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220630002015IDermatologyKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks363319$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks197137$0
99213Established patient office or other outpatient visit, 20-29 minutes8150$0
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm7977$0
13121Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm4441$0
View full utilization report →

Insurance plans in this area (ZIP 42503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476457532View full group profile

Reviews

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Frequently asked questions

How do I look up MICHAEL RENZI (MD) by NPI?
Use NPI 1497272090 when you need to reference MICHAEL RENZI (MD) in forms, claims, or directories.
Is MICHAEL RENZI (MD)'s NPI currently valid?
The extract we use shows MICHAEL RENZI (MD) as active.
Does MICHAEL RENZI (MD) list a primary specialty?
If you are matching referrals, note MOHS-Micrographic Surgery Physician for MICHAEL RENZI (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL RENZI (MD)?
The page summarizes Somerset, Kentucky for MICHAEL RENZI (MD); expand the address list for detail.
How can I contact MICHAEL RENZI (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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