DR. JESSICA SUZANNE MOSHER (MD) – MOHS-Micrographic Surgery Physician, NPI 1063471050
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
Provider Addresses for DR. JESSICA SUZANNE MOSHER (MD)
68 WELLESLEY RD
BELMONT, MA 024782125
Phone: (617) 710-6585
Fax: (617) 710-6585
Type: Mailing
62 WALNUT ST STE 1
WELLESLEY HILLS, MA 024812109
Phone: (781) 400-0469
Fax: (617) 604-2168
Type: Location
20 WILLIAM ST STE G15
WELLESLEY, MA 024814102
Phone: (781) 591-4234
Fax: (781) 369-9737
Type: Mailing
Harvard Vanguard, 147, Milk Street, Dock Square, Financial District, Boston, Suffolk County, Massachusetts, 02110, United States
BOSTON, MA 021094806
Phone:
Type: Mailing
485, Arsenal Street, Watertown Mall, Watertown, Middlesex County, Massachusetts, 02472, United States
WATERTOWN, MA 024725091
Phone: (617) 972-5111
Fax: (617) 972-5112
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-03-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040329000424 | I | Dermatology | MA | 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 |
|---|---|---|---|---|
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 491 | 249 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 384 | 295 | $0 |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 144 | 104 | $0 |
| 17314 | Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks | 117 | 78 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 106 | 83 | $0 |
Insurance plans in this area (ZIP 02478)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | MA | |
| Qualified Audiologist | MA | |
| Qualified Audiologist | MA | |
| O T O L A R Y N G O L O G Y | MA | |
| O T O L A R Y N G O L O G Y | MA | |
| Qualified Audiologist | MA | |
| Otolaryngology, Plastic And Reconstructive Surgery | MA | |
| Nurse Practitioner | MA | |
| Qualified Audiologist | MA | |
| O T O L A R Y N G O L O G Y | MA |
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