DR. TESIA KOLODZIEJCZYK (DO) – Dermatology Physician, NPI 1740867316
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DERMATOLOGY in MI
Provider Addresses for DR. TESIA KOLODZIEJCZYK (DO)
5333 McAuley Drive
Suite 4001
Ypsilanti, MI 481978633
Phone: (734) 712-3980
Type: Location
8089 S LINCOLN ST STE 300
LITTLETON, CO 801222721
Phone: (720) 851-5200
Type: Location
15070 E COACHMAN DR
COLORADO SPRINGS, CO 809082204
Phone: (719) 231-4025
Type: Mailing
5333 MCAULEY DRIVE
SUITE 4001
YPSILANTI, MI 481978633
Phone: (734) 712-3980
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,614.
Total Amount is formed as General ($1,614) + Research ($0) + Ownership ($0) = $1,614.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($1,583).
Total Amount
$1,614
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,614
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,583 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $32 |
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: 2025-11-05
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 |
|---|---|---|---|---|
| I20251105003364 | I | Dermatology | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48197)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CO | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | CO |
Reviews
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