DR. LORI MARCUM FEDORONKO – Dermatology Physician, NPI 1548250855

DR. LORI MARCUM FEDORONKO is a healthcare provider. based in Troy, Michigan. specializing in DERMATOLOGY. They hold a License No. 4301064064 (MI). The NPI Number for DR. LORI MARCUM FEDORONKO is 1548250855

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. LORI MARCUM FEDORONKO
NPI
1548250855
Phone
(248) 362-0222
Address
1350 KIRTS BLVD
Enumeration Date
27 October 2005
Last Update Date
6 September 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2483620222
Graduation Year
1991 (35 years ago)
PAC ID
6709966351
Professional Enrollment ID
I20080108000704
Address ID
MI480844854TR1350XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

532 DERMATOLOGY in MI

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Provider Addresses for DR. LORI MARCUM FEDORONKO

  • 1350, Kirts Boulevard, Troy, Oakland County, Michigan, 48084, United States

    SUITE 155

    TROY, MI 480844851

    Phone: (248) 362-0222

    Fax: (248) 362-1165

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2024-05-13 • Largest payer in this snapshot: Janssen Biotech, Inc. ($99).

Total Amount

$119

General + Research + Ownership

Payments

2

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-01-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080108000704IDermatologyMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths900151$0
99213Established patient office or other outpatient visit, 20-29 minutes338304$0
17000Destruction of precancer skin growth, 1 growth245194$0
17110Destruction of skin growth, 1-14 growths205174$0
99212Established patient office or other outpatient visit, 10-19 minutes174120$0
View full utilization report →

Insurance plans in this area (ZIP 48084)

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Provider's Procedures

DR. LORI MARCUM FEDORONKO performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMI11101Biopsy of each additional growth of skin and/or tissue5043
DERMATOLOGYMI17003Destruction of 2-14 skin growths998199

Reviews

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Frequently asked questions

How do payers reference DR. LORI MARCUM FEDORONKO?
For DR. LORI MARCUM FEDORONKO, use NPI 1548250855 as the unique 10-digit identifier.
Is DR. LORI MARCUM FEDORONKO shown as active in public data?
Registry records indicate DR. LORI MARCUM FEDORONKO maintains an active NPI.
What area of care is associated with DR. LORI MARCUM FEDORONKO?
DR. LORI MARCUM FEDORONKO's record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. LORI MARCUM FEDORONKO?
Travel planning: use Troy, Michigan as the reference point for DR. LORI MARCUM FEDORONKO, then confirm.
Does DR. LORI MARCUM FEDORONKO accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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