ANNYELLA MARI DOUGLAS – Dermatology Physician, NPI 1619438348
Dermatology 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 ANNYELLA MARI DOUGLAS
Abington Hospital, 1200, Old York Road, Mount Vernon Gardens, Abington, Abington Township, Montgomery County, Pennsylvania, 19001, United States
ABINGTON, PA 190013788
Phone:
Type: Mailing
3 SW 129TH AVE STE 100
PEMBROKE PINES, FL 330271778
Phone: (866) 400-3376
Fax: (954) 217-3222
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 111 Open Payments records for all available years, with a total value of $3,438.
Total Amount is formed as General ($3,438) + Research ($0) + Ownership ($0) = $3,438.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($943).
Total Amount
$3,438
General + Research + Ownership
Payments
111
Total payment records
General Amount
$3,438
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $943 |
| Janssen Biotech, Inc. | $512 |
| GENZYME CORPORATION | $351 |
| Regeneron Healthcare Solutions, Inc. | $273 |
| Lilly USA, LLC | $185 |
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: 2023-08-07
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 |
|---|---|---|---|---|
| I20230807003524 | I | Dermatology | FL | 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 | 21 | 18 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 18 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 19001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL |
Reviews
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