DR. BROOKE MELISSA WALLS (DO) – Dermatology Physician, NPI 1205161478
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
364 DERMATOLOGY in CO
Provider Addresses for DR. BROOKE MELISSA WALLS (DO)
7300 RANCH ROAD 2222, BUILDING 1, STE 200
AUSTIN, TX 78730
Phone: (512) 628-0465
Fax: (512) 233-2711
Type: Mailing
332 W MAIN ST UNIT 101
ASPEN, CO 816111614
Phone: (970) 920-0067
Type: Location
Noble Street, Slaterville, Fairbanks, Fairbanks North Star, Alaska, 99701-6161, United States
TVC
FAIRBANKS, AK 99701
Phone: (907) 459-3500
Type: Location
1220, Violet Drive, Fairbanks North Star Borough, Alaska, 99712, United States
FAIRBANKS, AK 99712
Phone: (630) 991-8947
Type: Mailing
6601 VAUGHT RANCH RD STE 200
AUSTIN, TX 787302309
Phone: (512) 628-0465
Fax: (512) 233-2711
Type: Mailing
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 $49.
Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Arcutis Biotherapeutics, Inc. ($20).
Total Amount
$49
General + Research + Ownership
Payments
3
Total payment records
General Amount
$49
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arcutis Biotherapeutics, Inc. | $20 |
| Amgen Inc. | $15 |
| E.R. Squibb & Sons, L.L.C. | $13 |
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: 2018-06-06
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 |
|---|---|---|---|---|
| I20180606001011 | I | Dermatology | CO | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 3,293 | 1,854 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,095 | 211 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 298 | 255 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 267 | 237 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 201 | 174 | $0 |
Insurance plans in this area (ZIP 78730)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Dermatology, Pathology | TX | |
| Nurse Practitioner | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| Nurse Practitioner | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | FL |
Reviews
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