WHITNEY BLAIRE FANCHER (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1053699645
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
232 DERMATOLOGY in OR
Provider Addresses for WHITNEY BLAIRE FANCHER (M.D.)
831 NW COUNCIL DR
SUITE 301
GRESHAM, OR 970303721
Phone: (503) 362-8385
Fax: (503) 362-8435
Type: Location
4110 W 157TH TER
OVERLAND PARK, KS 662243529
Phone: (417) 848-6148
Type: Mailing
7520 W 160TH ST STE 100
OVERLAND PARK, KS 660858137
Phone: (913) 871-8221
Type: Location
831 NW Council Dr
Suite 301
Gresham, OR 970303721
Phone: (503) 362-8385
Fax: (503) 362-8435
Type: Location
2415 NE 134th St Ste 107
Vancouver, WA 986863031
Phone: (360) 576-3340
Type: Location
1793 13TH ST SE
SALEM, OR 973022541
Phone: (503) 362-8385
Fax: (503) 362-8435
Type: Mailing
1106 DOUGLAS ST STE F
LONGVIEW, WA 986322429
Phone: (360) 636-4500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $1,745.
Total Amount is formed as General ($1,745) + Research ($0) + Ownership ($0) = $1,745.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($272).
Total Amount
$1,745
General + Research + Ownership
Payments
64
Total payment records
General Amount
$1,745
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $272 |
| ABBVIE INC. | $211 |
| Sensus Healthcare, Inc. | $165 |
| Kerecis Limited | $152 |
| ConvaTec Inc. | $126 |
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: 2023-06-07
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 |
|---|---|---|---|---|
| I20230607000566 | I | Dermatology | KS | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 490 | 370 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 228 | 151 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 135 | 125 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 131 | 125 | $0 |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 110 | 92 | $0 |
Insurance plans in this area (ZIP 97030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| Physician Assistant | CA | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | KS | |
| D E R M A T O L O G Y | GA | |
| D E R M A T O L O G Y | IA |
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