DR. SUSAN C MASSICK (MD) – Dermatology Physician, NPI 1144202490

DR. SUSAN C MASSICK (MD) is a healthcare provider. based in Gahanna, Ohio. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 35078051 (OH). The NPI Number for DR. SUSAN C MASSICK (MD) is 1144202490

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN C MASSICK (MD)
NPI
1144202490
Phone
(614) 293-1707
Address
5175 Morse Rd
Enumeration Date
14 November 2005
Last Update Date
2 July 2024

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6142931707
Graduation Year
1997 (29 years ago)
PAC ID
7012942063
Group Practice PAC ID
5496651408
Professional Enrollment ID
I20071011000314
Address ID
OH432303415GA5175XRDXX300
Telehealth
Yes

Contacts

Secure Messaging
smassick11678@direct.osumc.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

607 DERMATOLOGY in OH

Provider Addresses for DR. SUSAN C MASSICK (MD)

  • 5175 Morse Rd

    Suite 100

    Gahanna, OH 432301370

    Phone: (614) 293-1707

    Fax: (614) 293-1716

    Type: Location

  • 700, Ackerman Road, Columbus, Sharon, Franklin, Ohio, 43202, United States

    SUITE 385

    COLUMBUS, OH 432021559

    Phone: (614) 947-3700

    Fax: (614) 947-3771

    Type: Mailing

  • 5175, Morse Road, Gahanna, Mifflin Township, Franklin County, Ohio, 43230, United States

    SUITE 100

    GAHANNA, OH 432301370

    Phone: (614) 293-1707

    Fax: (614) 293-1716

    Type: Location

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-1707

    Fax: (614) 947-1716

    Type: Mailing

  • 6100 N HAMILTON RD

    WESTERVILLE, OH 430812062

    Phone: (614) 293-1707

    Fax: (614) 293-1716

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Incyte Corporation ($112).

Total Amount

$128

General + Research + Ownership

Payments

3

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-10-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071011000314IDermatologyOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths766155$0
99214Established patient office or other outpatient visit, 30-39 minutes306263$0
99213Established patient office or other outpatient visit, 20-29 minutes260231$0
17000Destruction of precancer skin growth, 1 growth238208$0
17110Destruction of skin growth, 1-14 growths8168$0
View full utilization report →

Insurance plans in this area (ZIP 43230)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496651408View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicinePA
-OH
Nurse PractitionerOH
Hospitalist, Internal MedicineOH
Nurse PractitionerOH
Orthopedic Surgery, Sports MedicineOH
H O S P I T A L I S TOH
Medical OncologyOH
Medical OncologyOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do payers reference DR. SUSAN C MASSICK (MD)?
For DR. SUSAN C MASSICK (MD), use NPI 1144202490 as the unique 10-digit identifier.
Would DR. SUSAN C MASSICK (MD) appear as active to a payer?
You can treat DR. SUSAN C MASSICK (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. SUSAN C MASSICK (MD)?
DR. SUSAN C MASSICK (MD)'s specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SUSAN C MASSICK (MD)?
Directory geography for DR. SUSAN C MASSICK (MD) centers on Gahanna, Ohio.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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