SEALTIEL ADRIAN TINAJERO (D.O) – Dermatology Physician, NPI 1932573912
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
197 DERMATOLOGY in UT
Provider Addresses for SEALTIEL ADRIAN TINAJERO (D.O)
861 N MAIN ST
RICHFIELD, UT 847011840
Phone: (435) 558-7031
Fax: (435) 558-7035
Type: Location
1220 LAKE PLAZA DR
COLORADO SPRINGS, CO 80906
Phone: (719) 531-5400
Type: Location
147 METCALF LN
MONUMENT, CO 801322236
Phone: (435) 531-6269
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $905.
Total Amount is formed as General ($905) + Research ($0) + Ownership ($0) = $905.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($188).
Total Amount
$905
General + Research + Ownership
Payments
39
Total payment records
General Amount
$905
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-02-27
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 |
|---|---|---|---|---|
| I20200227001301 | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 8,400 | 36 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,775 | 314 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,208 | 796 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 503 | 339 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 484 | 416 | $0 |
Insurance plans in this area (ZIP 84701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | UT | |
| Physician Assistant | NV | |
| D E R M A T O L O G Y | UT |
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