SHANE DOUGLAS REYNAL – Dermatology Physician, NPI 1831651181
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
535 DERMATOLOGY in NC
Provider Addresses for SHANE DOUGLAS REYNAL
1550 CRESCENT POINTE PKWY APT 8301
COLLEGE STATION, TX 778457400
Phone: (979) 240-1491
Type: Mailing
WAKE FOREST BAPTIST HEALTH MEDICAL CENTER BLVD
WINSTON SALEM, NC 271570001
Phone: (336) 716-2011
Type: Location
Wake Forest Baptist Health Medical Center Blvd
Winston Salem, NC 271570001
Phone: (336) 716-2011
Type: Location
7832 PAT BOOKER RD
LIVE OAK, TX 782332601
Phone: (210) 657-9338
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 152 Open Payments records for all available years, with a total value of $3,262.
Total Amount is formed as General ($3,262) + Research ($0) + Ownership ($0) = $3,262.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($705).
Total Amount
$3,262
General + Research + Ownership
Payments
152
Total payment records
General Amount
$3,262
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $705 |
| E.R. Squibb & Sons, L.L.C. | $417 |
| Amgen Inc. | $270 |
| Arcutis Biotherapeutics, Inc. | $174 |
| LEO Pharma Inc. | $163 |
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: 2023-06-09
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 |
|---|---|---|---|---|
| I20230609000105 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 104 | 27 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 69 | 67 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 55 | 55 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 49 | 49 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 42 | 42 | $0 |
Insurance plans in this area (ZIP 77845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | 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 | |
| Interventional Radiology, Diagnostic Radiology | 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 | |
| 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 | AZ |
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