JOHN BARRY SIEBENLIST (M.D.) – Procedural Dermatology Physician, NPI 1164476909
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
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Provider Addresses for JOHN BARRY SIEBENLIST (M.D.)
Corporate Circle, Green Valley Ranch, Henderson, Clark County, Nevada, 89074, United States
STE 200
HENDERSON, NV 890747759
Phone: (702) 360-2763
Fax: (949) 783-2880
Type: Mailing
1551, Bishop Street, San Luis Obispo, San Luis Obispo County, California, 93401, United States
SUITE 220
SAN LUIS OBISPO, CA 934014635
Phone: (805) 541-0668
Fax: (805) 541-8213
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 110 Open Payments records for all available years, with a total value of $2,462.
Total Amount is formed as General ($2,462) + Research ($0) + Ownership ($0) = $2,462.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($527).
Total Amount
$2,462
General + Research + Ownership
Payments
110
Total payment records
General Amount
$2,462
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $527 |
| Janssen Biotech, Inc. | $462 |
| E.R. Squibb & Sons, L.L.C. | $339 |
| Regeneron Healthcare Solutions, Inc. | $169 |
| Lilly USA, LLC | $110 |
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: 2008-01-22
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 |
|---|---|---|---|---|
| I20080122000832 | I | Dermatology | CA | 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 | 1,220 | 211 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 802 | 584 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 491 | 395 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 420 | 282 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 391 | 308 | $0 |
Insurance plans in this area (ZIP 89074)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| Nurse Practitioner | NV | |
| - | CA | |
| - | CA | |
| - | NV | |
| D E R M A T O L O G Y | NV | |
| Dermatology, Micrographic Dermatologic Surgery (Mds), Pathology | TX | |
| Physician Assistant | NV | |
| Nurse Practitioner | CA |
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