TIFFANY SUN (M.D. PH.D.) – MOHS-Micrographic Surgery Physician, NPI 1245620921
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
38 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in MA
Provider Addresses for TIFFANY SUN (M.D. PH.D.)
20 William St Ste G15
Wellesley, MA 024814102
Phone: (781) 591-4234
Type: Location
67 S BEDFORD ST
BURLINGTON, MA 018035108
Phone:
Type: Mailing
55 FRUIT ST # BH616
BOSTON, MA 021142621
Phone:
Type: Mailing
1701 DIVISADERO ST FL 3
SAN FRANCISCO, CA 941153011
Phone: (314) 440-7228
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $105.
Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Lilly USA, LLC ($105).
Total Amount
$105
General + Research + Ownership
Payments
1
Total payment records
General Amount
$105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $105 |
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: 2021-08-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210830002429 | I | Micrographic Dermatologic Surgery (Mds) | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 243 | 207 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 147 | 107 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 96 | 65 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 60 | 58 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 53 | $0 |
Insurance plans in this area (ZIP 02481)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| - | MA | |
| G A S T R O E N T E R O L O G Y | NY | |
| Physician Assistant | MA | |
| A N E S T H E S I O L O G Y | MA |
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