MRS. ASHLEY FAYE MORT (PA-C) – Dermatology Physician, NPI 1134521107
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for MRS. ASHLEY FAYE MORT (PA-C)
43151 DALCOMA DR STE 4
CLINTON TOWNSHIP, MI 480386306
Phone: (586) 286-8720
Fax: (866) 790-6803
Type: Mailing
2950 KEEWAHDIN RD
FORT GRATIOT, MI 480593526
Phone: (810) 455-1600
Fax: (810) 455-1620
Type: Location
43151 DALCOMA DR
SUITE 5
CLINTON TOWNSHIP, MI 480386306
Phone: (586) 286-8720
Fax: (866) 790-6803
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 136 Open Payments records for all available years, with a total value of $2,587.
Total Amount is formed as General ($2,587) + Research ($0) + Ownership ($0) = $2,587.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($755).
Total Amount
$2,587
General + Research + Ownership
Payments
136
Total payment records
General Amount
$2,587
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $755 |
| E.R. Squibb & Sons, L.L.C. | $310 |
| Novartis Pharmaceuticals Corporation | $242 |
| ABBVIE INC. | $202 |
| Lilly USA, LLC | $199 |
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: 2014-11-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141112000775 | I | Physician Assistant | MI | 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 | 152 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 52 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 45 | 43 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 29 | 28 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 22 | 22 | $0 |
Insurance plans in this area (ZIP 48038)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 17003 | Destruction of 2-14 skin growths | 82 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MD | |
| Nurse Practitioner | MI | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI | |
| - | MI | |
| D E R M A T O L O G Y | MI | |
| - | MI | |
| - | MI | |
| D E R M A T O L O G Y | MI |
Reviews
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