JEREMY S BORDEAUX (MD MPH) – MOHS-Micrographic Surgery Physician, NPI 1043242589
MOHS-Micrographic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
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Provider Addresses for JEREMY S BORDEAUX (MD MPH)
24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States
3RD FLOOR
EUCLID, OH 441171714
Phone:
Type: Mailing
UMass Memorial Medical Center - Hahnemann Campus, 281, Lincoln Street, Washburn and Moen North Works Historic District, Brittan Square, Worcester, Worcester County, Massachusetts, 01605, United States
UMASS DERMATOLOGY HAHNEMANN CAMPUS
WORCESTER, MA 01605
Phone: (508) 334-5971
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $312.
Total Amount is formed as General ($312) + Research ($0) + Ownership ($0) = $312.
Last reported payment date: 2024-06-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($312).
Total Amount
$312
General + Research + Ownership
Payments
4
Total payment records
General Amount
$312
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $312 |
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: 2007-09-04
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 |
|---|---|---|---|---|
| I20070904000247 | I | Dermatology | OH | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 350 | 293 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 257 | 231 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 208 | 138 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 121 | 109 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 93 | 93 | $0 |
Insurance plans in this area (ZIP 44117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MA | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 38 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | MI | |
| Hospitalist, Internal Medicine | OH | |
| - | TX | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| - | OH | |
| - | OH |
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