DR. ALYSSA MICELI (D.O.) – Dermatology Physician, NPI 1497136758
Dermatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,369 DERMATOLOGY in FL
Provider Addresses for DR. ALYSSA MICELI (D.O.)
43900 GARFIELD RD
STE 100
CLINTON TWP, MI 480381137
Phone: (586) 286-0112
Fax: (586) 286-1241
Type: Mailing
906 PARK AVE
ORANGE PARK, FL 320734120
Phone: (904) 541-0315
Type: Location
25 TAMARACK AVE
DANBURY, CT 068114829
Phone: (203) 797-8990
Type: Mailing
28333 Harper Ave
Saint Clair Shores, MI 480811687
Phone: (586) 776-9770
Fax: (586) 776-9772
Type: Location
906 Park Ave
Orange Park, FL 320734120
Phone: (904) 541-0315
Type: Location
28333 HARPER AVE
SAINT CLAIR SHORES, MI 480811687
Phone: (586) 776-9770
Fax: (586) 776-9772
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 318 Open Payments records for all available years, with a total value of $5,848.
Total Amount is formed as General ($5,848) + Research ($0) + Ownership ($0) = $5,848.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,099).
Total Amount
$5,848
General + Research + Ownership
Payments
318
Total payment records
General Amount
$5,848
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,099 |
| PFIZER INC. | $506 |
| Incyte Corporation | $286 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $238 |
| Janssen Biotech, Inc. | $225 |
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: 2021-11-15
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 |
|---|---|---|---|---|
| I20211115001082 | I | Dermatology | CT | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 519 | 405 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 384 | 97 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 193 | 158 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 186 | 175 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 80 | 80 | $0 |
Insurance plans in this area (ZIP 48038)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CT | |
| D E R M A T O L O G Y | CT | |
| Dermatology, Pathology | CT | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | CT | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | CT | |
| Physician Assistant | CT | |
| Nurse Practitioner | MA | |
| D E R M A T O L O G Y | PA |
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