DR. DAIHUNG V DO (MD) – MOHS-Micrographic Surgery Physician, NPI 1548251127
MOHS-Micrographic Surgery Physician
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NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
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Provider Addresses for DR. DAIHUNG V DO (MD)
Beth Israel Deaconess Medical Center East Campus, 330, Brookline Avenue, Audubon Square, Boston, Suffolk County, Massachusetts, 02215, United States
ECC-2, DERMATOLOGIC SURGERY
BOSTON, MA 022155400
Phone: (617) 667-4493
Fax: (617) 667-7435
Type: Mailing
65 WALNUT ST
STE 520
WELLESLEY, MA 024812191
Phone: (617) 667-4493
Fax: (617) 667-7435
Type: Mailing
65 WALNUT ST STE 520
WELLESLEY, MA 024812191
Phone: (781) 237-3500
Fax: (781) 237-1360
Type: Location
900 Cummings Ctr Ste 311T
Beverly, MA 019156260
Phone: (978) 225-3376
Fax: (978) 560-1245
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.
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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: 2004-07-29
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 |
|---|---|---|---|---|
| I20040729000264 | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 548 | 462 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 303 | 203 | $0 |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 146 | 129 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 116 | 106 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 109 | 105 | $0 |
Insurance plans in this area (ZIP 02215)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MA | 11101 | Biopsy of each additional growth of skin and/or tissue | 19 | 14 |
| DERMATOLOGY | MA | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 32 | 29 |
| DERMATOLOGY | MA | 17003 | Destruction of 2-14 skin growths | 302 | 45 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | MA | |
| P A T H O L O G Y | MA | |
| D E R M A T O L O G Y | IL | |
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | PA |
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