DR. ALLISON J MOOSALLY (MD) – MOHS-Micrographic Surgery Physician, NPI 1104847334
MOHS-Micrographic Surgery 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 DR. ALLISON J MOOSALLY (MD)
5915 Landerbrook Dr Ste 120
Mayfield Hts, OH 441244034
Phone: (216) 382-3806
Type: Location
3624, West Market Street, Fairlawn, Bath Township, Summit County, Ohio, 44333, United States
SUITE 101
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 82 Open Payments records for all available years, with a total value of $1,704.
Total Amount is formed as General ($1,704) + Research ($0) + Ownership ($0) = $1,704.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($364).
Total Amount
$1,704
General + Research + Ownership
Payments
82
Total payment records
General Amount
$1,704
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. | $364 |
| Dermavant Sciences, Inc. | $139 |
| REVANCE THERAPEUTICS, INC. | $123 |
| Incyte Corporation | $118 |
| Lilly USA, LLC | $113 |
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: 2006-09-11
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 |
|---|---|---|---|---|
| I20060911000302 | 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 | 323 | 257 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 189 | 29 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 151 | 114 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 128 | 92 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 126 | 113 | $0 |
Insurance plans in this area (ZIP 44124)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | OH | 17003 | Destruction of 2-14 skin growths | 217 | 36 |
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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