TESSA BURTON MULLINS (D.O.) – Dermatology Physician, NPI 1912439043
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
166 DERMATOLOGY in KY
Provider Addresses for TESSA BURTON MULLINS (D.O.)
1221 S BROADWAY
LEXINGTON, KY 405042701
Phone: (859) 258-5270
Fax: (859) 258-5202
Type: Location
1138 Lexington Rd Ste 290
Georgetown, KY 403249672
Phone: (859) 258-8880
Fax: (859) 258-8899
Type: Location
LewisGale Hospital Montgomery, 3700, South Main Street, Myers Acres, Blacksburg, Montgomery County, Virginia, 24060, United States
BLACKSBURG, VA 240607017
Phone: (540) 951-1111
Type: Location
3706 S MAIN ST
BLACKSBURG, VA 240607006
Phone: (540) 951-3376
Fax: (540) 951-1276
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 195 Open Payments records for all available years, with a total value of $4,643.
Total Amount is formed as General ($4,643) + Research ($0) + Ownership ($0) = $4,643.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($1,113).
Total Amount
$4,643
General + Research + Ownership
Payments
195
Total payment records
General Amount
$4,643
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,113 |
| Janssen Biotech, Inc. | $625 |
| Hill Dermaceuticals, Inc. | $423 |
| E.R. Squibb & Sons, L.L.C. | $225 |
| PFIZER INC. | $201 |
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: 2025-09-15
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 |
|---|---|---|---|---|
| I20210707001571 | I | Dermatology | VA | TBD |
| I20250915002243 | I | Dermatology | 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 | 2,543 | 438 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 943 | 766 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 632 | 535 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 358 | 311 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 176 | 97 | $0 |
Insurance plans in this area (ZIP 40504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | VA | |
| Nurse Practitioner | VA | |
| D E R M A T O L O G Y | VA | |
| Physician Assistant | VA | |
| Physician Assistant | VA | |
| Physician Assistant | TN | |
| D E R M A T O L O G Y | VA | |
| D E R M A T O L O G Y | WV | |
| D E R M A T O L O G Y | VA | |
| D E R M A T O L O G Y | VA |
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