MARYAM MANDANA ASGARI (MD) – MOHS-Micrographic Surgery Physician, NPI 1962580050
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
47 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in CO
Provider Addresses for MARYAM MANDANA ASGARI (MD)
50, Staniford Street, Downtown Crossing, West End, Boston, Suffolk County, Massachusetts, 02222, United States
SUITE 270
BOSTON, MA 02114
Phone: (617) 726-1869
Fax: (617) 726-7417
Type: Mailing
PO BOX 110429
AURORA, CO 800420429
Phone:
Fax: (303) 493-7000
Type: Mailing
1665 AURORA CT
AURORA, CO 800452517
Phone: (720) 848-0000
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: 2023-05-26
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 |
|---|---|---|---|---|
| I20230526001860 | I | Micrographic Dermatologic Surgery (Mds) | CO | 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 | 72 | 62 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 42 | 27 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 23 | 23 | $0 |
| 12051 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | 19 | 17 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 12 | 12 | $0 |
Insurance plans in this area (ZIP 02114)
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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 | 34 | 18 |
| DERMATOLOGY | MA | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 16 | 16 |
| DERMATOLOGY | MA | 17003 | Destruction of 2-14 skin growths | 375 | 55 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Family Practice | CO | |
| Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | CO | |
| Emergency Medicine | CO | |
| Emergency Medicine | CO | |
| - | CO | |
| - | CO | |
| Emergency Medicine | CO | |
| - | CO | |
| - | CO |
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