DR. GREGORY RUSSELL HANNON (M.D.) – Dermatology Physician, NPI 1659714913
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
Provider Addresses for DR. GREGORY RUSSELL HANNON (M.D.)
775 Prairie Center Dr Ste 370
Eden Prairie, MN 553447330
Phone: (952) 920-3808
Fax: (952) 920-8899
Type: Location
3316 WEST 66TH ST
#200
EDINA, MN 55435
Phone: (952) 920-3808
Type: Mailing
3316 W 66TH ST STE 200
EDINA, MN 554352544
Phone: (952) 303-8600
Fax: (952) 920-8899
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $234.
Total Amount is formed as General ($234) + Research ($0) + Ownership ($0) = $234.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($40).
Total Amount
$234
General + Research + Ownership
Payments
15
Total payment records
General Amount
$234
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $40 |
| GENZYME CORPORATION | $33 |
| Dermavant Sciences, Inc. | $32 |
| Mylan Institutional Inc. | $20 |
| UCB, Inc. | $18 |
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: 2017-06-26
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 |
|---|---|---|---|---|
| I20170626001890 | 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 | 922 | 214 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 522 | 380 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 403 | 293 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 200 | 182 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 193 | 162 | $0 |
Insurance plans in this area (ZIP 55344)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds) | PA | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| P A T H O L O G Y | MN | |
| - | MN | |
| D E R M A T O L O G Y | MN | |
| - | MN | |
| D E R M A T O L O G Y | MN |
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