DR. NICOLE GUNASEKERA (MD, MBA) – Dermatology Physician, NPI 1457889909
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
Provider Addresses for DR. NICOLE GUNASEKERA (MD, MBA)
14305 SOUTHCROSS DR W STE 110
BURNSVILLE, MN 553067011
Phone: (651) 340-1064
Fax: (651) 330-0429
Type: Location
Beth Israel Deaconess Medical Center East Campus, 330, Brookline Avenue, Audubon Square, Boston, Suffolk County, Massachusetts, 02215, United States
BOSTON, MA 022155400
Phone: (617) 667-7000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $946.
Total Amount is formed as General ($65) + Research ($881) + Ownership ($0) = $946.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($881).
Total Amount
$946
General + Research + Ownership
Payments
9
Total payment records
General Amount
$65
General payments
Research Amount
$881
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $881 |
| REVANCE THERAPEUTICS, INC. | $50 |
| Incyte Corporation | $15 |
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: 2025-04-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210602001432 | I | Dermatology | MA | TBD |
| I20250408000403 | 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 | 319 | 77 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 267 | 214 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 166 | 137 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 118 | 105 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 104 | 91 | $0 |
Insurance plans in this area (ZIP 55306)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | PA | |
| D E R M A T O L O G Y | MN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology, Dermatology | MN | |
| D E R M A T O L O G Y | CO | |
| Physician Assistant | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | IL |
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