NINA PETROFF (MD) – Procedural Dermatology Physician, NPI 1396836086
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for NINA PETROFF (MD)
23250, Chagrin Boulevard, Beachwood, Cuyahoga County, Ohio, 44122, United States
SUITE 350
BEACHWOOD, OH 441225470
Phone: (216) 765-7474
Fax: (216) 765-7484
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 30 Open Payments records for all available years, with a total value of $697.
Total Amount is formed as General ($697) + Research ($0) + Ownership ($0) = $697.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: GENZYME CORPORATION ($175).
Total Amount
$697
General + Research + Ownership
Payments
30
Total payment records
General Amount
$697
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
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: 2013-04-10
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 |
|---|---|---|---|---|
| I20130410000589 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,721 | 315 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 784 | 442 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 614 | 394 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 285 | 221 | $0 |
| 11900 | Injection into skin growth, 1-7 growths | 235 | 175 | $0 |
Insurance plans in this area (ZIP 44122)
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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 | 24 | 23 |
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