SHAUNDRA EICHSTADT (MD) – Dermatology Physician, NPI 1174849194
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
38 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in MA
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Provider Addresses for SHAUNDRA EICHSTADT (MD)
640 W MOANA LN
RENO, NV 895094903
Phone: (775) 324-0699
Fax: (775) 323-6814
Type: Mailing
Tufts Medical Center, 800, Washington Street, Chinatown, Financial District, Boston, Suffolk County, Massachusetts, 02111, United States
BOSTON, MA 02111
Phone: (415) 404-0406
Type: Location
800 WASHINGTON ST, BOX 114
BOSTON, MA 021111552
Phone: (415) 404-0406
Type: Mailing
3640 Warren Way Ste 200
Reno, NV 895095240
Phone: (775) 324-0699
Fax: (775) 826-4820
Type: Location
PO BOX 232410
SAN DIEGO, CA 921932410
Phone:
Type: Mailing
200 W ARBOR DR
SAN DIEGO, CA 921039000
Phone: (800) 926-8273
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $349.
Total Amount is formed as General ($349) + Research ($0) + Ownership ($0) = $349.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Organogenesis Inc. ($205).
Total Amount
$349
General + Research + Ownership
Payments
8
Total payment records
General Amount
$349
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 |
|---|---|
| Organogenesis Inc. | $205 |
| ABBVIE INC. | $63 |
| GENZYME CORPORATION | $49 |
| Regeneron Healthcare Solutions, Inc. | $25 |
| Biofrontera Inc. | $7 |
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: 2023-11-01
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 |
|---|---|---|---|---|
| I20231101000485 | I | Micrographic Dermatologic Surgery (Mds) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89509)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OR | |
| Physician Assistant | NV | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | NV | |
| - | AK | |
| - | ID | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | TX | |
| Physician Assistant | OR | |
| Physician Assistant | OR |
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