DR. WILLIAM SOREN MORTENSEN (M.D.) – Dermatology Physician, NPI 1700156064

DR. WILLIAM SOREN MORTENSEN (M.D.) is a healthcare provider. based in Reno, Nevada. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 15717 (NV). The NPI Number for DR. WILLIAM SOREN MORTENSEN (M.D.) is 1700156064

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM SOREN MORTENSEN (M.D.)
NPI
1700156064
Phone
(775) 829-1212
Address
6630 S MCCARRAN BLVD STE A9
Enumeration Date
4 January 2012
Last Update Date
4 March 2026

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY
Secondary Phone
7758291212
Graduation Year
2011 (15 years ago)
PAC ID
5294956033
Group Practice PAC ID
9436374386
Professional Enrollment ID
I20150630002195
Address ID
NV895215901RE500XXPKWY401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

91 DERMATOLOGY in NV

Provider Addresses for DR. WILLIAM SOREN MORTENSEN (M.D.)

  • 6630 S MCCARRAN BLVD STE A9

    RENO, NV 895096136

    Phone: (775) 829-1212

    Fax: (775) 829-1179

    Type: Mailing

  • 4700 EXCHANGE CT STE 110

    BOCA RATON, FL 334314450

    Phone: (561) 948-0291

    Fax: (561) 859-0429

    Type: Mailing

  • 500 DAMONTE RANCH PKWY

    RENO, NV 895215912

    Phone: (775) 829-1212

    Fax: (775) 829-1179

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 333 Open Payments records for all available years, with a total value of $5,458.

Total Amount is formed as General ($5,458) + Research ($0) + Ownership ($0) = $5,458.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,035).

Total Amount

$5,458

General + Research + Ownership

Payments

333

Total payment records

General Amount

$5,458

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

View all Open Payments →|Open Payments Risk Radar →

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: 2015-06-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150630002195IDermatologyNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths5,156769$0
99213Established patient office or other outpatient visit, 20-29 minutes1,5461,065$0
17000Destruction of precancer skin growth, 1 growth1,215924$0
17110Destruction of skin growth, 1-14 growths761604$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks247198$0
View full utilization report →

Insurance plans in this area (ZIP 89509)

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Provider's Procedures

DR. WILLIAM SOREN MORTENSEN (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYNV11101Biopsy of each additional growth of skin and/or tissue3231
DERMATOLOGYNV13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet1817
DERMATOLOGYNV17003Destruction of 2-14 skin growths5658683

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436374386View full group profile
NameSpecialtyState
Physician AssistantFL

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Frequently asked questions

What unique ID ties claims to DR. WILLIAM SOREN MORTENSEN (M.D.)?
NPI 1700156064 is assigned to DR. WILLIAM SOREN MORTENSEN (M.D.) under the national enumeration system.
Is DR. WILLIAM SOREN MORTENSEN (M.D.) active in the national directory?
DR. WILLIAM SOREN MORTENSEN (M.D.)'s public NPI profile is in an active state.
What kind of provider is DR. WILLIAM SOREN MORTENSEN (M.D.)?
The page reflects Dermatology Physician for DR. WILLIAM SOREN MORTENSEN (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. WILLIAM SOREN MORTENSEN (M.D.) practice in Nevada?
You will see Reno, Nevada on file for DR. WILLIAM SOREN MORTENSEN (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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