DR. THERESA CONOLOGUE (DO) – Procedural Dermatology Physician, NPI 1053407452
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
471 DERMATOLOGY in VA
Provider Addresses for DR. THERESA CONOLOGUE (DO)
1101 SAM PERRY BLVD STE 121
FREDERICKSBURG, VA 224014465
Phone: (540) 899-1600
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $167.
Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.
Last reported payment date: 2024-01-24 • Largest payer in this snapshot: PFIZER INC. ($124).
Total Amount
$167
General + Research + Ownership
Payments
3
Total payment records
General Amount
$167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $124 |
| Regeneron Healthcare Solutions, Inc. | $28 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $16 |
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: 2013-08-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20110105001208 | I | Dermatology | VA | TBD |
| I20130812000834 | I | Dermatology | NC | 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 | 901 | 183 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 566 | 428 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 469 | 304 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 304 | 240 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 210 | 180 | $0 |
Insurance plans in this area (ZIP 22401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| E N D O C R I N O L O G Y | GA | |
| - | VA | |
| Internal Medicine | VA | |
| Family Practice | VA | |
| - | OH | |
| - | VA | |
| U R O L O G Y | IL | |
| - | VA |
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