DR. MICHAEL FONG (D.O.) – Dermatology Physician, NPI 1437512894
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
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Provider Addresses for DR. MICHAEL FONG (D.O.)
Northeast Regional Medical Center, 315, South Osteopathy, Kirksville, Adair County, Missouri, 63501, United States
KIRKSVILLE, MO 635016401
Phone: (660) 785-1000
Type: Location
315 S Osteopathy Ave
Kirksville, MO 635016401
Phone: (660) 785-1000
Type: Location
1316 Country Club Dr
Kirksville, MO 635015362
Phone: (660) 627-7546
Type: Location
3240 NE 3RD AVE
CAMAS, WA 986072408
Phone: (360) 729-8234
Fax: (360) 729-1337
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2023-03-29 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($17).
Total Amount
$34
General + Research + Ownership
Payments
2
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sun Pharmaceutical Industries Inc. | $17 |
| ABBVIE INC. | $16 |
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: 2022-09-12
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 |
|---|---|---|---|---|
| I20220912002240 | I | Dermatology | WA | 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 | 446 | 79 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 152 | 152 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 129 | 103 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 81 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 92 | 79 | $0 |
Insurance plans in this area (ZIP 63501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WA | |
| Physician Assistant | WA | |
| General Surgery, Thoracic Surgery | WA | |
| General Surgery, Thoracic Surgery | WA | |
| Family Practice | WA | |
| O P H T H A L M O L O G Y | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Physician Assistant | WA | |
| Medical Oncology | WA | |
| Nephrology, Internal Medicine | WA |
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