BRETT ROBERT KOCKENTIET (MD) – MOHS-Micrographic Surgery Physician, NPI 1306056171
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
50 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in OH
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Provider Addresses for BRETT ROBERT KOCKENTIET (MD)
650, Shawan Falls Drive, Dublin High Street Historic District, Dublin, Franklin, Ohio, 43017, United States
DUBLIN, OH 430172100
Phone: (614) 764-1711
Fax: (614) 889-2652
Type: Mailing
1125 Rush Ave
Bellefontaine, OH 433119488
Phone: (614) 764-1711
Fax: (614) 889-2652
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $307.
Total Amount is formed as General ($307) + Research ($0) + Ownership ($0) = $307.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($101).
Total Amount
$307
General + Research + Ownership
Payments
16
Total payment records
General Amount
$307
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $101 |
| Janssen Biotech, Inc. | $80 |
| PFIZER INC. | $64 |
| Incyte Corporation | $23 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $20 |
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: 2009-06-25
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 |
|---|---|---|---|---|
| I20090625000488 | I | Micrographic Dermatologic Surgery (Mds) | 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 | 1,103 | 232 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 539 | 440 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 373 | 314 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 189 | 157 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 145 | 110 | $0 |
Insurance plans in this area (ZIP 43017)
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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 | 32 | 19 |
| DERMATOLOGY | OH | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 20 | 20 |
| DERMATOLOGY | OH | 17003 | Destruction of 2-14 skin growths | 217 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| D E R M A T O L O G Y | OH |
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