ANN R KOOKEN (M.D.) – Dermatology Physician, NPI 1043315666
Dermatology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for ANN R KOOKEN (M.D.)
5915 Landerbrook Dr
Mayfield Hts, OH 441244039
Phone: (216) 382-3806
Type: Location
101, West Market Street, Fairlawn, Summit County, Ohio, 44333, United States
FAIRLAWN, OH 443334510
Phone: (330) 665-0555
Fax: (330) 665-0556
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 282 Open Payments records for all available years, with a total value of $5,061.
Total Amount is formed as General ($5,061) + Research ($0) + Ownership ($0) = $5,061.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,043).
Total Amount
$5,061
General + Research + Ownership
Payments
282
Total payment records
General Amount
$5,061
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,043 |
| Lilly USA, LLC | $521 |
| Janssen Biotech, Inc. | $411 |
| Dermavant Sciences, Inc. | $255 |
| UCB, Inc. | $221 |
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: 2006-09-29
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 |
|---|---|---|---|---|
| I20060929000151 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,064 | 223 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 624 | 524 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 388 | 309 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 293 | 248 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 180 | 164 | $0 |
Insurance plans in this area (ZIP 44124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH |
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