ANDREW MINZENMAYER – Dermatology Physician, NPI 1588168629

ANDREW MINZENMAYER is a healthcare provider. based in Temple, Texas. specializing in DERMATOLOGY. They hold a License No. T4983 (TX). The NPI Number for ANDREW MINZENMAYER is 1588168629

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW MINZENMAYER
NPI
1588168629
Phone
Not provided
Address
2401 S 31ST ST # MS 01161B
Enumeration Date
22 March 2018
Last Update Date
14 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
5417733636
Graduation Year
2018 (8 years ago)
PAC ID
7911254180
Group Practice PAC ID
9436122793
Professional Enrollment ID
I20250623001476
Address ID
OR975048131ME2959XBLVD302

Contacts

Secure Messaging
aminzenmayer333058@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

1,284 DERMATOLOGY in TX

Provider Addresses for ANDREW MINZENMAYER

  • 2401 S 31ST ST # MS 01161B

    TEMPLE, TX 765080001

    Phone:

    Type: Mailing

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • 2401 S 31ST ST

    TEMPLE, TX 765080001

    Phone: (254) 724-2111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250623001476IDermatologyORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths33174$0
99213Established patient office or other outpatient visit, 20-29 minutes190147$0
17110Destruction of skin growth, 1-14 growths11597$0
17000Destruction of precancer skin growth, 1 growth11195$0
99214Established patient office or other outpatient visit, 30-39 minutes8374$0
View full utilization report →

Insurance plans in this area (ZIP 76508)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436122793View full group profile
NameSpecialtyState
Dermatology, PathologyCO
Micrographic Dermatologic Surgery (Mds), DermatologyCA
-OR
D E R M A T O L O G YOR
D E R M A T O L O G YOR
-OR
Dermatology, PathologyOR
D E R M A T O L O G YVA
Micrographic Dermatologic Surgery (Mds), DermatologyOR
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

What federal number belongs to ANDREW MINZENMAYER?
The federal identifier for ANDREW MINZENMAYER is NPI 1588168629.
Does this profile mean ANDREW MINZENMAYER is currently active?
Yes — ANDREW MINZENMAYER appears active in the national provider directory.
What kind of provider is ANDREW MINZENMAYER?
The page reflects Dermatology Physician for ANDREW MINZENMAYER. Clinical services aligned with this taxonomy classification.
Where does public data place ANDREW MINZENMAYER?
The snapshot lists Temple, Texas for ANDREW MINZENMAYER; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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