DR. MICHAEL J O'DONNELL (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1215930722
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
808 DERMATOLOGY in PA
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Provider Addresses for DR. MICHAEL J O'DONNELL (M.D.)
Fieve Clinical Research, Inc., 327, North Washington Avenue, Downtown, Scranton, Lackawanna County, Pennsylvania, 18503, United States
STE 200
SCRANTON, PA 185031535
Phone: (570) 961-5522
Fax: (570) 207-5579
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)
No Open Payments data available for this provider.
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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: 2005-05-13
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 |
|---|---|---|---|---|
| I20050513000215 | I | Dermatology | PA | 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.
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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 | 637 | 524 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 218 | 200 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 213 | 181 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 193 | 190 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 149 | 46 | $0 |
Insurance plans in this area (ZIP 18503)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | PA | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 235 | 217 |
| DERMATOLOGY | PA | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 41 | 41 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | PA | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | PA | |
| Physician Assistant | PA | |
| D E R M A T O L O G Y | PA | |
| - | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| - | PA |
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