Unknown Individual – Procedural Dermatology Physician, NPI 1801885918
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
198 Mass Ave
Suite 105
N Andover, MA 018454143
Phone: (978) 687-3335
Fax: (978) 689-9041
Type: Location
Massachusetts Avenue, North Andover, Essex County, Massachusetts, 01845, United States
NORTH ANDOVER, MA 018454143
Phone: (978) 691-5690
Fax: (978) 691-5693
Type: Location
307;309;311, Merrimack Street, Lawrence, Essex County, Massachusetts, 01842, United States
LAWRENCE, MA 018431779
Phone: (978) 691-5690
Fax: (978) 691-5693
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $520.
Total Amount is formed as General ($520) + Research ($0) + Ownership ($0) = $520.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: ABBVIE INC. ($191).
Total Amount
$520
General + Research + Ownership
Payments
25
Total payment records
General Amount
$520
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 402 | 371 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 229 | 209 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 143 | 143 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 123 | 113 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 105 | 40 | $0 |
Insurance plans in this area (ZIP 01845)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Nurse Practitioner | NY | |
| D E R M A T O L O G Y | OH | |
| 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 | |
| - | MA | |
| Pathology, Dermatology | MA | |
| Nurse Practitioner | MA | |
| D E R M A T O L O G Y | MA |
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