CARRIE ANN R CUSACK (M.D.) – Dermatology Physician, NPI 1649238775
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
808 DERMATOLOGY in PA
Loading map...
Provider Addresses for CARRIE ANN R CUSACK (M.D.)
Three Parkway, 1601, Cherry Street, Philadelphia, Philadelphia County, Pennsylvania, 19103, United States
SUITE 11511
PHILADELPHIA, PA 191021320
Phone: (215) 255-7822
Fax: (215) 255-7825
Type: Mailing
North Broad Street, Spring Garden, Philadelphia, Philadelphia County, Pennsylvania, 19121, United States
4TH FLOOR
PHILADELPHIA, PA 191071519
Phone: (215) 762-5550
Fax: (215) 762-5570
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $674.
Total Amount is formed as General ($674) + Research ($0) + Ownership ($0) = $674.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($225).
Total Amount
$674
General + Research + Ownership
Payments
31
Total payment records
General Amount
$674
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $225 |
| Sensus Healthcare, Inc. | $105 |
| Janssen Biotech, Inc. | $100 |
| ABBVIE INC. | $66 |
| Galderma Laboratories, L.P. | $50 |
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: 2005-09-01
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 |
|---|---|---|---|---|
| I20040621001493 | I | Dermatology | PA | TBD |
| I20050901000431 | I | Dermatology | NJ | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,048 | 602 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 997 | 209 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 947 | 546 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 511 | 373 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 355 | 282 | $0 |
Insurance plans in this area (ZIP 19102)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | PA | 11101 | Biopsy of each additional growth of skin and/or tissue | 168 | 112 |
| DERMATOLOGY | PA | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 20 | 18 |
| DERMATOLOGY | PA | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 31 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NJ | |
| Dermatology, Pathology | NJ | |
| D E R M A T O L O G Y | NJ | |
| D E R M A T O L O G Y | CO | |
| Dermatology, Micrographic Dermatologic Surgery (Mds), Dermatology, Micrographic Dermatologic Surgery (Mds) | DE |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.