BRADLEY EVANSON – Dermatology Physician, NPI 1689069312
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for BRADLEY EVANSON
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-8800
Type: Mailing
2401 S 31ST ST BLDG 27
TEMPLE, TX 765081261
Phone: (254) 724-6477
Type: Location
383 S 300 E
ST GEORGE, UT 847703620
Phone: (435) 628-2826
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $1,209.
Total Amount is formed as General ($1,209) + Research ($0) + Ownership ($0) = $1,209.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($563).
Total Amount
$1,209
General + Research + Ownership
Payments
70
Total payment records
General Amount
$1,209
General payments
Research Amount
$0
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 |
|---|---|
| ABBVIE INC. | $563 |
| Dermavant Sciences, Inc. | $230 |
| UCB, Inc. | $115 |
| LEO Pharma Inc. | $78 |
| Lilly USA, LLC | $56 |
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: 2022-08-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220726002761 | I | Dermatology | UT | TBD |
| I20220825004186 | I | Dermatology | NV | 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 | 3,662 | 607 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,201 | 970 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 824 | 711 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 675 | 452 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 368 | 357 | $0 |
Insurance plans in this area (ZIP 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NV | |
| - | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| D E R M A T O L O G Y | UT | |
| Physician Assistant | UT | |
| D E R M A T O L O G Y | UT | |
| Physician Assistant | UT |
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