MICHELLE KIM KERRIGAN – Dermatology Physician, NPI 1447712054
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
Provider Addresses for MICHELLE KIM KERRIGAN
198 MASSACHUSETTS AVE
NORTH ANDOVER, MA 018454143
Phone:
Type: Mailing
Stony Brook Southampton Hospital, 240, Meeting House Lane, Southampton, Suffolk County, New York, 11968, United States
SOUTHAMPTON, NY 119685009
Phone: (631) 726-8200
Fax: (631) 726-0396
Type: Location
2505 HARRISON AVE
PANAMA CITY, FL 324054464
Phone: (850) 233-3376
Fax: (850) 522-8354
Type: Mailing
2550 WINDY HILL RD SE STE 200
MARIETTA, GA 300678654
Phone: (850) 233-3376
Fax: (850) 522-8354
Type: Location
1 MEDICAL CENTER DR
LEBANON, NH 037561000
Phone: (603) 650-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $1,184.
Total Amount is formed as General ($1,184) + Research ($0) + Ownership ($0) = $1,184.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: GENZYME CORPORATION ($212).
Total Amount
$1,184
General + Research + Ownership
Payments
51
Total payment records
General Amount
$1,184
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $212 |
| ABBVIE INC. | $198 |
| Lilly USA, LLC | $154 |
| Dermavant Sciences, Inc. | $101 |
| UCB, Inc. | $70 |
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: 2024-07-30
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 |
|---|---|---|---|---|
| I20230630003043 | I | Dermatology | MA | TBD |
| I20240730002826 | I | Dermatology | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | GA | |
| - | GA | |
| D E R M A T O L O G Y | GA | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Nurse Practitioner | GA |
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