DR. CORY V TRICKETT (DO) – MOHS-Micrographic Surgery Physician, NPI 1922158500
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for DR. CORY V TRICKETT (DO)
3551 Roger Brooke Dr
San Antonio, TX 782344504
Phone: (210) 916-3400
Type: Location
Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States
MCHE-QD(CREDS)
SAN ANTONIO, TX 782344504
Phone:
Type: Mailing
3183, West State Street, Bristol, Sullivan County, Tennessee, 37620, United States
BRISTOL, TN 376201712
Phone: (423) 764-7131
Fax: (423) 245-3136
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: 2018-09-11
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 |
|---|---|---|---|---|
| I20180911001172 | I | Dermatology | TN | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 461 | 392 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 161 | 119 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 118 | 70 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 85 | 85 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 81 | 69 | $0 |
Insurance plans in this area (ZIP 78234)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TN | |
| D E R M A T O L O G Y | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | VA | |
| D E R M A T O L O G Y | TN | |
| D E R M A T O L O G Y | TN | |
| - | TN | |
| D E R M A T O L O G Y | TN | |
| D E R M A T O L O G Y | TN | |
| Nurse Practitioner | TN |
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