Unknown Individual – Dermatology Physician, NPI 1639175441
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
12213, Camelot Place Northeast, North Albuquerque Acres, Bernalillo County, New Mexico, 87122, United States
ALBUQUERQUE, NM 871224320
Phone: (505) 262-7097
Fax: (505) 262-7636
Type: Mailing
6200, Uptown Boulevard Northeast, Uptown, Albuquerque, Bernalillo County, New Mexico, 87110, United States
SUITE 410
ALBUQUERQUE, NM 871104159
Phone: (505) 243-7546
Fax: (505) 243-7547
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $813.
Total Amount is formed as General ($813) + Research ($0) + Ownership ($0) = $813.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($258).
Total Amount
$813
General + Research + Ownership
Payments
36
Total payment records
General Amount
$813
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $258 |
| ABBVIE INC. | $160 |
| Janssen Biotech, Inc. | $142 |
| GENZYME CORPORATION | $112 |
| UCB, Inc. | $37 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 | 2,704 | 476 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 856 | 608 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 848 | 646 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 513 | 435 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 262 | 237 | $0 |
Insurance plans in this area (ZIP 87122)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Family Practice | NM | |
| D E R M A T O L O G Y | NM | |
| D E R M A T O L O G Y | NM | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | NM | |
| Physician Assistant | NM | |
| D E R M A T O L O G Y | NM | |
| Physician Assistant | NM | |
| Physician Assistant | NM |
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