ROB LELAND SHAVER (MD) – Dermatology Physician, NPI 1265175566
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
Provider Addresses for ROB LELAND SHAVER (MD)
3833 Coon Rapids Blvd NW Ste 280
Coon Rapids, MN 554332597
Phone: (763) 571-4000
Fax: (651) 631-1718
Type: Location
500 Osborne Rd NE Ste 330
Fridley, MN 554322769
Phone: (763) 571-4000
Fax: (651) 631-1718
Type: Location
9600 Upland Ln N Ste 250
Maple Grove, MN 553694497
Phone: (763) 571-4000
Fax: (651) 631-1718
Type: Location
10337 ELM LN
ROGERS, MN 553742602
Phone: (763) 807-2660
Type: Mailing
200 HAWKINS DR
IOWA CITY, IA 522421009
Phone:
Type: Mailing
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 $245.
Total Amount is formed as General ($245) + Research ($0) + Ownership ($0) = $245.
Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Incyte Corporation ($123).
Total Amount
$245
General + Research + Ownership
Payments
2
Total payment records
General Amount
$245
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Incyte Corporation | $123 |
| UCB, Inc. | $122 |
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: 2024-09-13
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 |
|---|---|---|---|---|
| I20240913001493 | I | Dermatology | IA | 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 55433)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IA | |
| Otolaryngology, Allergy/Immunology | IA | |
| Physician Assistant | IA | |
| Interventional Cardiology | IL | |
| Physician Assistant | MO | |
| Physician Assistant | IA | |
| Nurse Practitioner | IA | |
| Sleep Medicine, Pulmonary Disease, Sleep Medicine, Critical Care (Intensivists) | MO | |
| Family Practice | MO | |
| Nurse Practitioner | IA |
Reviews
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