STEPHANIE DIAMOND – Dermatology Physician, NPI 1710140785

STEPHANIE DIAMOND is a healthcare provider. based in Plymouth, Michigan. specializing in DERMATOLOGY. They hold a License No. 4301092776 (MI). The NPI Number for STEPHANIE DIAMOND is 1710140785

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE DIAMOND
NPI
1710140785
Phone
(313) 608-8458
Address
1377 BEECH ST
Enumeration Date
9 July 2008
Last Update Date
16 July 2020

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2488521900
Graduation Year
2008 (18 years ago)
PAC ID
0941466502
Group Practice PAC ID
8921105255
Professional Enrollment ID
I20120725001001
Address ID
MI483075184RO110XXWXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

532 DERMATOLOGY in MI

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Provider Addresses for STEPHANIE DIAMOND

  • 1377, Beech Street, Plymouth, Wayne County, Michigan, 48170, United States

    PLYMOUTH, MI 481702005

    Phone: (313) 608-8458

    Type: Mailing

  • Newburgh Road, Livonia, Wayne County, Michigan, 48152, United States

    LIVONIA, MI 48154

    Phone: (734) 464-8400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 244 Open Payments records for all available years, with a total value of $4,323.

Total Amount is formed as General ($4,323) + Research ($0) + Ownership ($0) = $4,323.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($867).

Total Amount

$4,323

General + Research + Ownership

Payments

244

Total payment records

General Amount

$4,323

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2012-07-25

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
I20120725001001IDermatologyMITBD

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 growths990143$0
99213Established patient office or other outpatient visit, 20-29 minutes410317$0
17000Destruction of precancer skin growth, 1 growth253183$0
17110Destruction of skin growth, 1-14 growths194155$0
11102Biopsy of related skin growth, first growth189158$0
View full utilization report →

Insurance plans in this area (ZIP 48170)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921105255View full group profile
NameSpecialtyState
D E R M A T O L O G YMI
D E R M A T O L O G YMI
Physician AssistantMI
D E R M A T O L O G YMI
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for STEPHANIE DIAMOND?
STEPHANIE DIAMOND — NPI 1710140785 — is the standard way to identify this listing.
Does CMS list STEPHANIE DIAMOND as active?
Yes — STEPHANIE DIAMOND is active in the NPI listing used on this page.
What taxonomy line describes STEPHANIE DIAMOND?
For research purposes, treat STEPHANIE DIAMOND as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for STEPHANIE DIAMOND?
STEPHANIE DIAMOND's geographic hint is Plymouth, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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DIAMOND DERMATOLOGY, PLLC.

Dermatology Physician
1377 BEECH ST
NPI: 1710595616