MS. SUSUN MICHAELS (DO) – Dermatology Physician, NPI 1366611311
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
17 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in NV
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Provider Addresses for MS. SUSUN MICHAELS (DO)
2285, 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
8205, West Warm Springs Road, Enterprise, Clark County, Nevada, 89113, United States
SUITE 190
LAS VEGAS, NV 891133645
Phone: (702) 588-6730
Fax: (702) 588-6732
Type: Location
100 HOSPITAL RD STE 2D
LEOMINSTER, MA 014532253
Phone: (978) 534-0582
Fax: (978) 534-6519
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 121 Open Payments records for all available years, with a total value of $2,457.
Total Amount is formed as General ($2,457) + Research ($0) + Ownership ($0) = $2,457.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($626).
Total Amount
$2,457
General + Research + Ownership
Payments
121
Total payment records
General Amount
$2,457
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $626 |
| Novartis Pharmaceuticals Corporation | $337 |
| Janssen Biotech, Inc. | $298 |
| UCB, Inc. | $279 |
| GENZYME CORPORATION | $225 |
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: 2025-01-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20110802000051 | I | Dermatology | NV | TBD |
| I20240531003009 | I | Micrographic Dermatologic Surgery (Mds) | CT | TBD |
| I20240620000141 | I | Dermatology | RI | TBD |
| I20250103002084 | I | Micrographic Dermatologic Surgery (Mds) | NY | 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 | 894 | 156 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 477 | 329 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 301 | 207 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 188 | 154 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 154 | 125 | $0 |
Insurance plans in this area (ZIP 89074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| Nurse Practitioner | RI | |
| Physician Assistant | RI | |
| D E R M A T O L O G Y | RI | |
| Physician Assistant | RI | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | RI | |
| Physician Assistant | RI | |
| D E R M A T O L O G Y | RI | |
| Physician Assistant | RI | |
| Physician Assistant | RI |
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