FRED MARK NOVICE (MD) – Dermatopathology Physician, NPI 1265517635
Dermatopathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DERMATOLOGY in MI
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Provider Addresses for FRED MARK NOVICE (MD)
4120, West Maple Road, Bloomfield Hills, Oakland County, Michigan, 48301, United States
SUITE 206
BLOOMFIELD HILLS, MI 48301
Phone: (248) 932-3376
Fax: (248) 932-1046
Type: Location
7456 PADDLEWHEEL CRT
BLOOMFIELD HILLS, MI 48301
Phone: (248) 932-3376
Fax: (248) 932-1046
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $839.
Total Amount is formed as General ($839) + Research ($0) + Ownership ($0) = $839.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($266).
Total Amount
$839
General + Research + Ownership
Payments
22
Total payment records
General Amount
$839
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $266 |
| ABBVIE INC. | $244 |
| Janssen Biotech, Inc. | $110 |
| GENZYME CORPORATION | $86 |
| Sun Pharmaceutical Industries Inc. | $28 |
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: 2008-11-03
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 |
|---|---|---|---|---|
| I20081103000381 | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2,190 | 603 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 531 | 271 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 264 | 207 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 233 | 176 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 182 | 43 | $0 |
Insurance plans in this area (ZIP 48301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MI | 17003 | Destruction of 2-14 skin growths | 627 | 137 |
| DERMATOLOGY | MI | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 232 | 120 |
| DERMATOLOGY | MI | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 85 | 61 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| 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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