GWENN MARIA VITTIMBERGA (MD) – Dermatology Physician, NPI 1891796702
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for GWENN MARIA VITTIMBERGA (MD)
1180, Hope Street, Bristol Highlands, Bristol, Bristol County, Rhode Island, 02809, United States
BRISTOL, RI 028091126
Phone: (401) 253-8900
Fax: (401) 254-1093
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)
CMS reports 3 Open Payments records for all available years, with a total value of $51.
Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.
Last reported payment date: 2024-09-06 • Largest payer in this snapshot: Amgen Inc. ($51).
Total Amount
$51
General + Research + Ownership
Payments
3
Total payment records
General Amount
$51
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $51 |
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: 2008-05-29
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 |
|---|---|---|---|---|
| I20080529000045 | I | Dermatology | RI | 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 | 1,187 | 237 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 750 | 545 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 461 | 334 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 213 | 166 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 169 | 144 | $0 |
Insurance plans in this area (ZIP 02809)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | RI | 11101 | Biopsy of each additional growth of skin and/or tissue | 77 | 54 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Internal Medicine | RI | |
| P O D I A T R Y | RI | |
| Internal Medicine | RI | |
| Nurse Practitioner | MA | |
| D E R M A T O L O G Y | RI | |
| Diagnostic Radiology | RI | |
| - | RI | |
| Diagnostic Radiology | RI | |
| - | RI | |
| Nurse Practitioner | MA |
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