DR. AMY HEHR KASSOUF (M.D.) – Dermatology Physician, NPI 1295918597
Dermatology 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. AMY HEHR KASSOUF (M.D.)
University Suburban Health Center, 1611, South Green Road, South Euclid, Cuyahoga County, Ohio, 44121, United States
SUITE 146
SOUTH EUCLID, OH 441214128
Phone: (216) 382-3806
Fax: (216) 382-6735
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $1,334.
Total Amount is formed as General ($1,334) + Research ($0) + Ownership ($0) = $1,334.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($292).
Total Amount
$1,334
General + Research + Ownership
Payments
59
Total payment records
General Amount
$1,334
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $292 |
| PFIZER INC. | $181 |
| Amgen Inc. | $165 |
| ABBVIE INC. | $134 |
| Dermavant Sciences, Inc. | $124 |
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: 2010-03-19
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 |
|---|---|---|---|---|
| I20100319000140 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 568 | 479 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 471 | 150 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 279 | 240 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 102 | 92 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 95 | 82 | $0 |
Insurance plans in this area (ZIP 44121)
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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 | 448 | 126 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nephrology, Internal Medicine | OH | |
| - | OH | |
| - | MI | |
| Nurse Practitioner | OH | |
| General Surgery, Anesthesiology, Critical Care (Intensivists) | OH | |
| Family Practice | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| - | MN |
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