CHERYL LEE DANIELLE EBERTING (M.D.) – Dermatology Physician, NPI 1306945308
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
197 DERMATOLOGY in UT
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Provider Addresses for CHERYL LEE DANIELLE EBERTING (M.D.)
653, South High Bench Road, Alpine, Utah County, Utah, 84004, United States
ALPINE, UT 840041797
Phone: (801) 763-7107
Fax: (801) 763-7607
Type: Mailing
144, South Main Street, Alpine, Utah County, Utah, 84004, United States
SUITE 100
ALPINE, UT 840041666
Phone: (801) 763-7107
Fax: (801) 763-7607
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2024-05-14 • Largest payer in this snapshot: ABBVIE INC. ($39).
Total Amount
$39
General + Research + Ownership
Payments
2
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $39 |
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: 2007-02-20
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 |
|---|---|---|---|---|
| I20070220000040 | I | Dermatology | UT | 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 | 360 | 63 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 148 | 104 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 134 | 93 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 88 | 73 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 67 | 50 | $0 |
Insurance plans in this area (ZIP 84004)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Physician Assistant | FL | |
| Physician Assistant | UT |
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