MRS. MIRIAM S BETTENCOURT (MD) – Dermatology Physician, NPI 1013934967
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
91 DERMATOLOGY in NV
Provider Addresses for MRS. MIRIAM S BETTENCOURT (MD)
9097 W POST RD STE 100
LAS VEGAS, NV 891482417
Phone: (702) 430-5333
Type: Mailing
6170 N DURANGO DR STE 140
LAS VEGAS, NV 891493926
Phone: (702) 430-5333
Type: Location
Southhall Lane, Maitland, Orange County, Florida, 32810, United States
MAITLAND, FL 327517172
Phone: (407) 216-2691
Fax: (407) 650-3455
Type: Mailing
Coronado Center Drive, Henderson, Clark County, Nevada, 89052, United States
HENDERSON, NV 890523992
Phone: (702) 257-7546
Fax: (702) 870-4824
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 332 Open Payments records for all available years, with a total value of $229,010.
Total Amount is formed as General ($229,010) + Research ($0) + Ownership ($0) = $229,010.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($99,896).
Total Amount
$229,010
General + Research + Ownership
Payments
332
Total payment records
General Amount
$229,010
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 |
|---|---|
| Amgen Inc. | $99,896 |
| Dermavant Sciences, Inc. | $61,843 |
| Incyte Corporation | $31,313 |
| Galderma Laboratories, L.P. | $7,475 |
| E.R. Squibb & Sons, L.L.C. | $7,345 |
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: 2004-06-01
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 |
|---|---|---|---|---|
| I20040601000822 | I | Dermatology | NV | 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 | 755 | 146 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 327 | 263 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 260 | 219 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 176 | 143 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 155 | 137 | $0 |
Insurance plans in this area (ZIP 89148)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | NV | 17003 | Destruction of 2-14 skin growths | 5770 | 878 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| - | NV | |
| - | NV | |
| Physician Assistant | NV | |
| Physician Assistant | OH | |
| Physician Assistant | NY | |
| Radiation Oncology | NV | |
| Physician Assistant | AZ | |
| Nurse Practitioner | NV | |
| Physician Assistant | NV |
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.