DR. JOHN E MINER (MD) – MOHS-Micrographic Surgery Physician, NPI 1023008844

DR. JOHN E MINER (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. JM062781 (MI). The NPI Number for DR. JOHN E MINER (MD) is 1023008844

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN E MINER (MD)
NPI
1023008844
Phone
(616) 949-5600
Address
1740 E PARIS AVE SE
Enumeration Date
24 October 2005
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
61657568941194
Graduation Year
1989 (37 years ago)
PAC ID
2365441714
Group Practice PAC ID
8224032594
Professional Enrollment ID
I20061212000309
Address ID
MI495466204GR1740XSEXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

532 DERMATOLOGY in MI

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Provider Addresses for DR. JOHN E MINER (MD)

  • 1740, East Paris Avenue Southeast, Kentwood, Kent County, Michigan, 49546, United States

    GRAND RAPIDS, MI 495466204

    Phone: (616) 949-5600

    Fax: (616) 949-6571

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $337.

Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Janssen Biotech, Inc. ($144).

Total Amount

$337

General + Research + Ownership

Payments

17

Total payment records

General Amount

$337

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-12-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061212000309IDermatologyMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks306243$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks229141$0
17003Destruction of precancer skin growth, 2-14 growths19653$0
88305Pathology examination of tissue using a microscope, intermediate complexity13973$0
99213Established patient office or other outpatient visit, 20-29 minutes136122$0
View full utilization report →

Insurance plans in this area (ZIP 49546)

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Provider's Procedures

DR. JOHN E MINER (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMI17003Destruction of 2-14 skin growths628145

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224032594View full group profile
NameSpecialtyState
Nurse PractitionerMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Dermatology, Family PracticeMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI

Reviews

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Frequently asked questions

What federal number belongs to DR. JOHN E MINER (MD)?
The federal identifier for DR. JOHN E MINER (MD) is NPI 1023008844.
Is DR. JOHN E MINER (MD)'s NPI currently valid?
The extract we use shows DR. JOHN E MINER (MD) as active.
Can you summarize DR. JOHN E MINER (MD)'s specialty in plain language?
Clinically, the directory lists DR. JOHN E MINER (MD) with MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. JOHN E MINER (MD) practice in Michigan?
You will see Grand Rapids, Michigan on file for DR. JOHN E MINER (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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