DANIEL G TINKER (MD) – Dermatology Physician, NPI 1417449869
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
Provider Addresses for DANIEL G TINKER (MD)
12200 WEBER HILL RD STE 200
SAINT LOUIS, MO 631271569
Phone:
Type: Mailing
540 E Cherry St
Troy, MO 633791410
Phone: (314) 834-1400
Type: Location
12200 WEBER HILL RD
ST LOUIS, MO 63127
Phone:
Type: Location
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone:
Type: Mailing
Northeast Hoyt Street, Wilkes, Portland, Metro, Multnomah County, Oregon, 97230, United States
PORTLAND, OR 972132985
Phone: (503) 215-6600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 197 Open Payments records for all available years, with a total value of $14,305.
Total Amount is formed as General ($14,305) + Research ($0) + Ownership ($0) = $14,305.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: UCB, Inc. ($3,953).
Total Amount
$14,305
General + Research + Ownership
Payments
197
Total payment records
General Amount
$14,305
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 |
|---|---|
| UCB, Inc. | $3,953 |
| E.R. Squibb & Sons, L.L.C. | $2,569 |
| Arcutis Biotherapeutics, Inc. | $1,850 |
| ABBVIE INC. | $828 |
| PFIZER INC. | $557 |
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: 2024-08-06
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 |
|---|---|---|---|---|
| I20240806002339 | I | Dermatology | MO | 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 63127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | MO | |
| Nurse Practitioner | MO |
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