DR. KENNETH K YU (M.D., PH.D.) – MOHS-Micrographic Surgery Physician, NPI 1811302359
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
Provider Addresses for DR. KENNETH K YU (M.D., PH.D.)
345 COURT ST STE 201
PLYMOUTH, MA 023604374
Phone:
Type: Mailing
221 LONGWOOD AVE
BOSTON, MA 02115
Phone: (617) 732-4918
Type: Location
375 BOYLSTON ST
BROOKLINE, MA 024456007
Phone:
Type: Mailing
345 COURT ST
STE 201
PLYMOUTH, MA 023604329
Phone:
Type: Mailing
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: 2018-08-23
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 |
|---|---|---|---|---|
| I20180823000605 | 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 | 363 | 299 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 318 | 272 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 314 | 169 | $0 |
| Q4229 | Cogenex amniotic membrane, per square centimeter | 260 | 18 | $0 |
| Q4180 | Revita, per square centimeter | 188 | 13 | $0 |
Insurance plans in this area (ZIP 02360)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| - | MA | |
| Physician Assistant | NV | |
| D E R M A T O L O G Y | MA |
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