CONLEY WALTER ENGSTROM (MD) – Dermatology Physician, NPI 1518949551
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 CONLEY WALTER ENGSTROM (MD)
26908, Detroit Road, Westlake, Cuyahoga County, Ohio, 44145, United States
SUITE 103
WESTLAKE, OH 441452398
Phone: (440) 482-8323
Fax: (440) 808-1606
Type: Mailing
6100 S Broadway Ste 101
Lorain, OH 440533872
Phone: (440) 482-8363
Fax: (440) 808-1718
Type: Location
2205 CROCKER RD STE 109
WESTLAKE, OH 441456710
Phone: (440) 249-0274
Fax: (440) 808-1718
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 178 Open Payments records for all available years, with a total value of $7,044.
Total Amount is formed as General ($7,044) + Research ($0) + Ownership ($0) = $7,044.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($3,076).
Total Amount
$7,044
General + Research + Ownership
Payments
178
Total payment records
General Amount
$7,044
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sun Pharmaceutical Industries Inc. | $3,076 |
| Dermavant Sciences, Inc. | $673 |
| E.R. Squibb & Sons, L.L.C. | $450 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $294 |
| Janssen Biotech, Inc. | $290 |
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: 2008-05-06
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 |
|---|---|---|---|---|
| I20080506000466 | 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 | 1,302 | 262 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,196 | 780 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 519 | 395 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 224 | 194 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 206 | 169 | $0 |
Insurance plans in this area (ZIP 44145)
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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 | 23 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds) | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | OH |
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