DR. DAVID GUANNAN LI (MD, MBA) – Dermatology Physician, NPI 1891355186
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
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Provider Addresses for DR. DAVID GUANNAN LI (MD, MBA)
32 QUEENSBERRY ST APT 12A
BOSTON, MA 022155260
Phone: (909) 762-8372
Type: Mailing
Signature Healthcare Brockton Hospital, 680, Centre Street, Brockton, Plymouth County, Massachusetts, 02302, United States
BROCKTON, MA 023023308
Phone: (909) 762-8372
Type: Location
25 Carleton St Bldg E23
Cambridge, MA 021421323
Phone: (617) 258-9768
Fax: (877) 947-2327
Type: Location
30 LANCASTER ST STE 400
BOSTON, MA 021141704
Phone: (617) 722-4100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $701.
Total Amount is formed as General ($701) + Research ($0) + Ownership ($0) = $701.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($188).
Total Amount
$701
General + Research + Ownership
Payments
19
Total payment records
General Amount
$701
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $188 |
| Janssen Biotech, Inc. | $169 |
| E.R. Squibb & Sons, L.L.C. | $118 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $83 |
| LEO Pharma Inc. | $64 |
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: 2023-06-22
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 |
|---|---|---|---|---|
| I20230622000772 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 216 | 40 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 51 | 49 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 33 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 30 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 02215)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MA | |
| - | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| Dermatology, Internal Medicine | MA |
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