DR. ANGELA KEAKA BRIMHALL (D.O., M.S.) – Dermatology Physician, NPI 1770773061
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
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Provider Addresses for DR. ANGELA KEAKA BRIMHALL (D.O., M.S.)
1548, 4500 South, Millcreek, Salt Lake County, Utah, 84117, United States
STE 202
SALT LAKE CITY, UT 841175209
Phone: (216) 921-3602
Type: Mailing
University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States
CLEVELAND, OH 441061716
Phone: (216) 844-8447
Type: Location
2932 N 1130 W
PLEASANT GROVE, UT 840628055
Phone: (216) 280-1875
Type: Mailing
11760 S 700 E STE 112
DRAPER, UT 840206605
Phone: (801) 882-9995
Fax: (801) 882-9994
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $860.
Total Amount is formed as General ($860) + Research ($0) + Ownership ($0) = $860.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: ABBVIE INC. ($245).
Total Amount
$860
General + Research + Ownership
Payments
36
Total payment records
General Amount
$860
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $245 |
| Arcutis Biotherapeutics, Inc. | $202 |
| PFIZER INC. | $115 |
| Novartis Pharmaceuticals Corporation | $53 |
| UCB, Inc. | $49 |
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: 2011-12-09
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 |
|---|---|---|---|---|
| I20111209000522 | 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 | 1,232 | 224 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 314 | 241 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 304 | 230 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 169 | 141 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 167 | 142 | $0 |
Insurance plans in this area (ZIP 84117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | OH | 11101 | Biopsy of each additional growth of skin and/or tissue | 18 | 15 |
| DERMATOLOGY | OH | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 15 | 15 |
| DERMATOLOGY | OH | 17003 | Destruction of 2-14 skin growths | 742 | 133 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT |
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