DR. MIRA STOTLAND (M.D) – Dermatology Physician, NPI 1104023837
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,382 DERMATOLOGY in NY
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Provider Addresses for DR. MIRA STOTLAND (M.D)
61, Grand Street, Downtown Jersey City, Jersey City, Hudson County, New Jersey, 07304, United States
APT 3H
JERSEY CITY, NJ 073026484
Phone: (201) 451-2992
Type: Mailing
432, East 23rd Street, Brooklyn, Kings County, New York, 11226, United States
NEW YORK, NY 10010
Phone: (212) 686-7500
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
267 W HILLCREST DR
THOUSAND OAKS, CA 913604211
Phone: (805) 497-1694
Fax: (805) 373-7493
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $267.
Total Amount is formed as General ($267) + Research ($0) + Ownership ($0) = $267.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Amgen Inc. ($84).
Total Amount
$267
General + Research + Ownership
Payments
12
Total payment records
General Amount
$267
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $84 |
| GENZYME CORPORATION | $48 |
| Lilly USA, LLC | $46 |
| Regeneron Healthcare Solutions, Inc. | $26 |
| Janssen Biotech, Inc. | $25 |
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: 2012-04-04
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 |
|---|---|---|---|---|
| I20120404000340 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 31 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 13 | 12 | $0 |
Insurance plans in this area (ZIP 07302)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | OH | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | CA |
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