ROBYN MICHELLE FANDERCLAI (M.D.) – Dermatology Physician, NPI 1457462418
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
Provider Addresses for ROBYN MICHELLE FANDERCLAI (M.D.)
5700 Mexico Rd Ste 14
Saint Peters, MO 633761667
Phone: (636) 277-0371
Fax: (636) 447-4161
Type: Location
16516 Manchester Rd
Wildwood, MO 630401217
Phone: (636) 458-8400
Fax: (636) 458-8404
Type: Location
1800 Wentzville Pkwy
Wentzville, MO 633853817
Phone: (636) 200-9220
Fax: (636) 590-7659
Type: Location
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
9209, Phoenix Village Parkway, Estates at Bayhill Village, O’Fallon, Saint Charles County, Missouri, 63368, United States
O FALLON, MO 633684280
Phone: (636) 561-4613
Fax: (636) 561-4610
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 380 Open Payments records for all available years, with a total value of $5,527.
Total Amount is formed as General ($5,527) + Research ($0) + Ownership ($0) = $5,527.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($741).
Total Amount
$5,527
General + Research + Ownership
Payments
380
Total payment records
General Amount
$5,527
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $741 |
| ABBVIE INC. | $672 |
| Janssen Biotech, Inc. | $624 |
| Amgen Inc. | $615 |
| E.R. Squibb & Sons, L.L.C. | $361 |
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: 2004-05-06
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 |
|---|---|---|---|---|
| I20040506000929 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 2,200 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 723 | 495 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 564 | 133 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 295 | 217 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 246 | 197 | $0 |
Insurance plans in this area (ZIP 63376)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MO | 11101 | Biopsy of each additional growth of skin and/or tissue | 138 | 77 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.