MICHELLE SE WON MIN (MD, MSCI) – Dermatology Physician, NPI 1194176354
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
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Provider Addresses for MICHELLE SE WON MIN (MD, MSCI)
St. Elizabeth's Medical Center, 736, Cambridge Street, Aberdeen, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States
BOSTON, MA 021352907
Phone: (617) 789-3000
Type: Mailing
118 MED SURG I
IRVINE, CA 926970001
Phone: (949) 824-0606
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $8,436.
Total Amount is formed as General ($8,436) + Research ($0) + Ownership ($0) = $8,436.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($7,338).
Total Amount
$8,436
General + Research + Ownership
Payments
36
Total payment records
General Amount
$8,436
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $7,338 |
| PFIZER INC. | $232 |
| UCB, Inc. | $188 |
| LEO Pharma Inc. | $185 |
| ABBVIE INC. | $164 |
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: 2021-05-21
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 |
|---|---|---|---|---|
| I20210521000895 | I | Dermatology | CA | 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 | 443 | 72 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 409 | 252 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 132 | 94 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 111 | 53 | $0 |
| 96910 | Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | 106 | 27 | $0 |
Insurance plans in this area (ZIP 02135)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | MD | |
| D E R M A T O L O G Y | RI | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA |
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