DR. TIMOTHY KENT CRAGUN (DO) – Dermatology Physician, NPI 1760419881
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
992 FAMILY PRACTICE in NV
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Provider Addresses for DR. TIMOTHY KENT CRAGUN (DO)
2327 WINDING VW
SAN ANTONIO, TX 782607263
Phone: (702) 582-4830
Fax: (210) 615-6793
Type: Mailing
Mike O'Callaghan Military Medical Center, 4700, Las Vegas Boulevard North, Clark County, Nevada, 89191, United States
NELLIS AFB, NV 891916600
Phone: (702) 348-3245
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 175 Open Payments records for all available years, with a total value of $3,106.
Total Amount is formed as General ($3,106) + Research ($0) + Ownership ($0) = $3,106.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($492).
Total Amount
$3,106
General + Research + Ownership
Payments
175
Total payment records
General Amount
$3,106
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $492 |
| E.R. Squibb & Sons, L.L.C. | $489 |
| ABBVIE INC. | $340 |
| Lilly USA, LLC | $298 |
| PFIZER INC. | $125 |
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: 2019-11-22
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 |
|---|---|---|---|---|
| I20160907001813 | I | Dermatology | CA | TBD |
| I20191122000567 | 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 | 4,600 | 17 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 804 | 187 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 395 | 278 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 364 | 263 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 240 | 169 | $0 |
Insurance plans in this area (ZIP 78260)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| - | WA | |
| Physician Assistant | TX | |
| Pathology, Dermatology | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX |
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