DR. MICHAEL D JOHN (MD) – Dermatology Physician, NPI 1790788586
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
126 DERMATOLOGY in OK
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Provider Addresses for DR. MICHAEL D JOHN (MD)
West 15th Street, Edmond, Oklahoma County, Oklahoma, 73013, United States of America
EDMOND, OK 730133617
Phone: (405) 359-0551
Fax: (405) 359-3061
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 12 Open Payments records for all available years, with a total value of $225.
Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($82).
Total Amount
$225
General + Research + Ownership
Payments
12
Total payment records
General Amount
$225
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
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: 2007-04-17
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 |
|---|---|---|---|---|
| I20070417000468 | I | Dermatology | OK | 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 | 3,087 | 711 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2,628 | 1,801 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,581 | 1,067 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 467 | 410 | $0 |
| 96910 | Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | 319 | 12 | $0 |
Insurance plans in this area (ZIP 73013)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | OK | 11101 | Biopsy of each additional growth of skin and/or tissue | 27 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| D E R M A T O L O G Y | TN | |
| D E R M A T O L O G Y | OK |
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