JESSE Y LIU – Dermatology Physician, NPI 1356845523
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DERMATOLOGY in MI
Provider Addresses for JESSE Y LIU
3303 S BOND AVE
PORTLAND, OR 972394501
Phone: (503) 418-3376
Type: Mailing
36475 FIVE MILE RD
LIVONIA, MI 481541971
Phone:
Type: Mailing
1 Seymour St
Montclair, NJ 070423771
Phone: (973) 302-9585
Fax: (862) 357-8421
Type: Location
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 079222104
Phone: (908) 273-4300
Type: Mailing
1 SEYMOUR ST
MONTCLAIR, NJ 070423771
Phone: (973) 302-9585
Fax: (862) 357-8421
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $108.
Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.
Last reported payment date: 2023-04-05 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($108).
Total Amount
$108
General + Research + Ownership
Payments
1
Total payment records
General Amount
$108
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $108 |
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: 2025-04-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240409002770 | I | Dermatology | WA | TBD |
| I20250409000850 | I | Dermatology | OR | 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 | 274 | 67 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 274 | 159 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 127 | 127 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 109 | 89 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 102 | 93 | $0 |
Insurance plans in this area (ZIP 97239)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| Internal Medicine, Infectious Disease | PA | |
| Internal Medicine | WA | |
| Diagnostic Radiology | OR | |
| Internal Medicine | OR | |
| O P H T H A L M O L O G Y | IA | |
| - | OR | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CA |
Reviews
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