MALLORY KATHRYN JOSEPH (MD) – MOHS-Micrographic Surgery Physician, NPI 1306337399
MOHS-Micrographic Surgery Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DERMATOLOGY in MI
Provider Addresses for MALLORY KATHRYN JOSEPH (MD)
4285 PARKWAY PLACE DR SW
GRANDVILLE, MI 494182385
Phone: (616) 252-3376
Type: Mailing
Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States
ANN ARBOR, MI 481095000
Phone:
Type: Mailing
4830 Becker Dr
Allendale, MI 494018616
Phone: (616) 252-3376
Type: Location
5900 Byron Center Ave SW
Wyoming, MI 495199606
Phone: (616) 252-3376
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-08-24
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 |
|---|---|---|---|---|
| I20230824002680 | I | Micrographic Dermatologic Surgery (Mds) | 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 | 97 | 82 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 41 | 23 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $0 |
| 17262 | Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm | 24 | 16 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 24 | 24 | $0 |
Insurance plans in this area (ZIP 49418)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Hospitalist, Internal Medicine | MI | |
| - | MI | |
| Family Practice | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Physician Assistant | MI |
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