DR. SHANE O'NEIL (M.D.) – Dermatology Physician, NPI 1942629795
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
Provider Addresses for DR. SHANE O'NEIL (M.D.)
500 OSBORNE RD NE STE 330
FRIDLEY, MN 554322769
Phone: (763) 786-9024
Type: Mailing
PO BOX 412012
BOSTON, MA 022412012
Phone: (978) 691-5691
Fax: (978) 216-4618
Type: Mailing
62 BROWN ST STE 304C
HAVERHILL, MA 018306790
Phone: (978) 691-5690
Fax: (978) 216-4618
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 234 Open Payments records for all available years, with a total value of $4,989.
Total Amount is formed as General ($4,989) + Research ($0) + Ownership ($0) = $4,989.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,002).
Total Amount
$4,989
General + Research + Ownership
Payments
234
Total payment records
General Amount
$4,989
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,002 |
| Janssen Biotech, Inc. | $831 |
| GENZYME CORPORATION | $453 |
| UCB, Inc. | $274 |
| Sun Pharmaceutical Industries Inc. | $235 |
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: 2021-11-10
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 |
|---|---|---|---|---|
| I20211110002730 | I | Dermatology | MA | 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 | 2,277 | 351 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 868 | 643 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 545 | 424 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 269 | 220 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 241 | 218 | $0 |
Insurance plans in this area (ZIP 55432)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Nurse Practitioner | NY | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | MA | |
| - | MA | |
| Pathology, Dermatology | MA | |
| Nurse Practitioner | MA | |
| D E R M A T O L O G Y | MA |
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