DR. NICOLE ANTOINETTE NEGBENEBOR (MD) – MOHS-Micrographic Surgery Physician, NPI 1740773597
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
100 DERMATOLOGY in RI
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Provider Addresses for DR. NICOLE ANTOINETTE NEGBENEBOR (MD)
Rhode Island Hospital, 593, Eddy Street, Downtown, Providence, Providence County, Rhode Island, 02903, United States
PROVIDENCE, RI 029034923
Phone: (704) 473-5502
Type: Location
411 10th St SE Ste 1200
Cedar Rapids, IA 524032449
Phone: (319) 362-3434
Fax: (319) 362-9568
Type: Location
105 E 9th St
Coralville, IA 522412209
Phone: (319) 467-2000
Fax: (319) 467-2509
Type: Location
200 HAWKINS DR
IOWA CITY, IA 522421009
Phone: (319) 356-1694
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $13,376.
Total Amount is formed as General ($2,534) + Research ($10,843) + Ownership ($0) = $13,376.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($11,080).
Total Amount
$13,376
General + Research + Ownership
Payments
22
Total payment records
General Amount
$2,534
General payments
Research Amount
$10,843
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $11,080 |
| UCB, Inc. | $2,044 |
| PFIZER INC. | $90 |
| Incyte Corporation | $82 |
| GENZYME CORPORATION | $80 |
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: 2023-07-31
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 |
|---|---|---|---|---|
| I20230731000164 | I | Dermatology | IA | 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 | 49 | 42 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 37 | 16 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 31 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 33 | 25 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 28 | 27 | $0 |
Insurance plans in this area (ZIP 02903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| O P H T H A L M O L O G Y | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| - | IA |
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