MICHAEL WIEDERKEHR (MD) – Dermatology Physician, NPI 1396759783
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
453 DERMATOLOGY in NJ
Provider Addresses for MICHAEL WIEDERKEHR (MD)
1, Ridgewood Avenue, Paramus, Bergen County, New Jersey, 07652, United States
SUITE 103
PARAMUS, NJ 076522359
Phone: (201) 857-4200
Fax: (201) 857-4199
Type: Mailing
217 Brook Ave Ste B108
Passaic, NJ 070553357
Phone: (201) 857-4200
Fax: (201) 857-4199
Type: Location
80 River St Ste 4A
Hoboken, NJ 070305619
Phone: (201) 857-4200
Type: Location
1 W RIDGEWOOD AVE STE 103
PARAMUS, NJ 076522361
Phone: (201) 857-4200
Fax: (201) 857-4199
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 94 Open Payments records for all available years, with a total value of $1,477.
Total Amount is formed as General ($1,477) + Research ($0) + Ownership ($0) = $1,477.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PFIZER INC. ($185).
Total Amount
$1,477
General + Research + Ownership
Payments
94
Total payment records
General Amount
$1,477
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $185 |
| Amgen Inc. | $173 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $173 |
| Novartis Pharmaceuticals Corporation | $149 |
| ABBVIE INC. | $144 |
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: 2006-02-23
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 |
|---|---|---|---|---|
| I20060223000021 | I | Dermatology | NJ | 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 | 1,242 | 863 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,127 | 260 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 643 | 479 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 605 | 391 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 312 | 163 | $0 |
Insurance plans in this area (ZIP 07652)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | NJ | 11101 | Biopsy of each additional growth of skin and/or tissue | 175 | 125 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Pathology, Dermatology | NJ | |
| D E R M A T O L O G Y | NJ | |
| Physician Assistant | PA | |
| Nurse Practitioner | NJ | |
| Dermatology, Plastic And Reconstructive Surgery | NJ | |
| Physician Assistant | NJ |
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