DR. DAVID ALAN TACK (M.D.) – Dermatology Physician, NPI 1124032990
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
91 DERMATOLOGY in NV
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Provider Addresses for DR. DAVID ALAN TACK (M.D.)
227, Saint Albans Place, Carson City, Nevada, 89703, United States
CARSON CITY, NV 897034546
Phone: (775) 841-5259
Type: Mailing
Carson City, Nevada, 89701-4763, United States
CARSON CITY, NV 897015232
Phone: (775) 883-7811
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $1,536.
Total Amount is formed as General ($1,536) + Research ($0) + Ownership ($0) = $1,536.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($285).
Total Amount
$1,536
General + Research + Ownership
Payments
69
Total payment records
General Amount
$1,536
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $285 |
| Janssen Biotech, Inc. | $239 |
| GENZYME CORPORATION | $222 |
| Lilly USA, LLC | $194 |
| Regeneron Healthcare Solutions, Inc. | $109 |
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: 2005-02-01
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 |
|---|---|---|---|---|
| I20050201000938 | 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 | 6,833 | 1,141 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2,335 | 1,610 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,996 | 1,506 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 1,445 | 1,140 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,209 | 669 | $0 |
Insurance plans in this area (ZIP 89703)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | NV | 11101 | Biopsy of each additional growth of skin and/or tissue | 203 | 152 |
| DERMATOLOGY | NV | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 26 | 25 |
| DERMATOLOGY | NV | 17003 | Destruction of 2-14 skin growths | 6168 | 959 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| Physician Assistant | IL | |
| Physician Assistant | NV | |
| Physician Assistant | NV | |
| D E R M A T O L O G Y | MD | |
| - | NV | |
| Physician Assistant | NV | |
| - | NV | |
| D E R M A T O L O G Y | NV |
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