MOLLY MAE WARTHAN (M.D.) – Dermatology Physician, NPI 1073773867
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
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Provider Addresses for MOLLY MAE WARTHAN (M.D.)
Edwards Ranch Road, Fort Worth, Tarrant County, Texas, 76109, United States
FORT WORTH, TX 761094131
Phone: (817) 923-8220
Fax: (817) 923-9004
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 83 Open Payments records for all available years, with a total value of $2,125.
Total Amount is formed as General ($2,125) + Research ($0) + Ownership ($0) = $2,125.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($571).
Total Amount
$2,125
General + Research + Ownership
Payments
83
Total payment records
General Amount
$2,125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $571 |
| Merz North America, Inc. | $401 |
| Lilly USA, LLC | $303 |
| Janssen Biotech, Inc. | $166 |
| ABBVIE INC. | $103 |
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: 2011-07-15
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 |
|---|---|---|---|---|
| I20110715000253 | I | Dermatology | TX | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 2,200 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,530 | 879 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 953 | 155 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 365 | 285 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 304 | 256 | $0 |
Insurance plans in this area (ZIP 76109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX |
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