DR. LARISA RAVITSKIY (MD) – MOHS-Micrographic Surgery Physician, NPI 1144230905
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
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Provider Addresses for DR. LARISA RAVITSKIY (MD)
602, Morrison Road, Gahanna, Mifflin Township, Franklin County, Ohio, 43230, United States
GAHANNA, OH 43230
Phone: (614) 585-9900
Fax: (614) 585-9999
Type: Location
602 Morrison Rd
Gahanna, OH 43230
Phone: (614) 585-9900
Fax: (614) 585-9999
Type: Location
5040 FOREST DR STE 200
NEW ALBANY, OH 430548166
Phone: (614) 585-9900
Fax: (614) 585-9999
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $917.
Total Amount is formed as General ($917) + Research ($0) + Ownership ($0) = $917.
Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($286).
Total Amount
$917
General + Research + Ownership
Payments
29
Total payment records
General Amount
$917
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080821000448 | I | Dermatology | OH | TBD |
| I20250303002488 | I | Dermatology | AL | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 9,000 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 263 | 182 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 179 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 142 | 99 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 94 | 79 | $0 |
Insurance plans in this area (ZIP 43230)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | OH | 11101 | Biopsy of each additional growth of skin and/or tissue | 70 | 40 |
| DERMATOLOGY | OH | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 33 | 30 |
| DERMATOLOGY | OH | 17003 | Destruction of 2-14 skin growths | 286 | 58 |
| DERMATOLOGY | OH | 88342 | Tissue or cell analysis by immunologic technique | 18 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Physician Assistant | GA | |
| Nurse Practitioner | AL | |
| - | AL | |
| Physician Assistant | AL | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | AL | |
| Emergency Medicine | AL | |
| Physician Assistant | AL | |
| Nurse Practitioner | AL |
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