DR. EILEEN LARKIN AXIBAL (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1154732386
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DERMATOLOGY in MI
Provider Addresses for DR. EILEEN LARKIN AXIBAL (M.D.)
1740 E PARIS AVE SE
GRAND RAPIDS, MI 495466204
Phone: (616) 949-5600
Fax: (616) 949-6571
Type: Mailing
15830 BALLANTYNE MEDICAL PL
STE 225
CHARLOTTE, NC 282770760
Phone: (704) 919-1105
Fax: (704) 910-3163
Type: Mailing
15830 BALLANTYNE MEDICAL PL STE 225
CHARLOTTE, NC 282770760
Phone: (704) 919-1105
Fax: (704) 910-3163
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $454.
Total Amount is formed as General ($454) + Research ($0) + Ownership ($0) = $454.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($108).
Total Amount
$454
General + Research + Ownership
Payments
21
Total payment records
General Amount
$454
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $108 |
| Janssen Biotech, Inc. | $80 |
| GENZYME CORPORATION | $53 |
| Regeneron Healthcare Solutions, Inc. | $51 |
| PFIZER INC. | $41 |
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: 2020-09-02
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 |
|---|---|---|---|---|
| I20200902001780 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 166 | 138 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 137 | 78 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 84 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 58 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 45 | 30 | $0 |
Insurance plans in this area (ZIP 49546)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| 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 | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Dermatology, Family Practice | 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 | |
| D E R M A T O L O G Y | MI |
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