KELLEY J. ZYNIEWICZ (M.D.) – Dermatology Physician, NPI 1568413375
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for KELLEY J. ZYNIEWICZ (M.D.)
300, Polaris Parkway, Westerville, Sharon, Delaware, Ohio, 43082, United States
SUITE 3300
WESTERVILLE, OH 430827989
Phone: (614) 898-7546
Fax: (614) 794-4294
Type: Mailing
540 Officenter Pl Ste 240
Gahanna, OH 432305317
Phone: (614) 293-1707
Fax: (614) 293-1716
Type: Location
430 ALTAIR PKWY STE 210
WESTERVILLE, OH 430827647
Phone: (614) 898-7546
Fax: (614) 293-1716
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 102 Open Payments records for all available years, with a total value of $1,767.
Total Amount is formed as General ($1,767) + Research ($0) + Ownership ($0) = $1,767.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($359).
Total Amount
$1,767
General + Research + Ownership
Payments
102
Total payment records
General Amount
$1,767
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
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: 2004-02-20
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 |
|---|---|---|---|---|
| I20040220001170 | 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 | 484 | 384 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 390 | 100 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 346 | 226 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 267 | 193 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 260 | 218 | $0 |
Insurance plans in this area (ZIP 43082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| 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 | MI | |
| D E R M A T O L O G Y | OH | |
| - | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | MD | |
| 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 | CA |
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