MARY ELLEN MEIGHAN (MD) – Dermatology Physician, NPI 1447236062
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
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Provider Addresses for MARY ELLEN MEIGHAN (MD)
Wayzata Boulevard, Wayzata, Hennepin County, Minnesota, 55391, United States
SUITE 100
WAYZATA, MN 553911916
Phone: (952) 476-6733
Fax: (952) 476-0084
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 19 Open Payments records for all available years, with a total value of $315.
Total Amount is formed as General ($315) + Research ($0) + Ownership ($0) = $315.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: LEO Pharma Inc. ($51).
Total Amount
$315
General + Research + Ownership
Payments
19
Total payment records
General Amount
$315
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LEO Pharma Inc. | $51 |
| GENZYME CORPORATION | $38 |
| UCB, Inc. | $34 |
| Janssen Biotech, Inc. | $24 |
| STRATA Skin Sciences, Inc. | $24 |
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: 2010-01-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100125000539 | I | Dermatology | MN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 683 | 150 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 438 | 322 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 293 | 218 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 195 | 123 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 158 | 125 | $0 |
Insurance plans in this area (ZIP 55391)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| D E R M A T O L O G Y | WI | |
| Nurse Practitioner | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MA | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN |
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