KENNETH W JR. NEAL (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1881629590
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
471 DERMATOLOGY in VA
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Provider Addresses for KENNETH W JR. NEAL (M.D.)
Northern Virginia Doctors Medical Center, 611, South Carlin Springs Road, Glencarlyn, Arlington, Arlington County, Virginia, 22204, United States
SUITE 406
ARLINGTON, VA 222041064
Phone: (571) 431-6175
Fax: (571) 431-6179
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 $57.
Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Amgen Inc. ($19).
Total Amount
$57
General + Research + Ownership
Payments
3
Total payment records
General Amount
$57
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $19 |
| E.R. Squibb & Sons, L.L.C. | $19 |
| ConvaTec Inc. | $19 |
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: 2007-06-15
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 |
|---|---|---|---|---|
| I20051014000573 | I | Dermatology | VA | TBD |
| I20070615000350 | I | Dermatology | DC | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 368 | 233 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 202 | 42 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 100 | 86 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 93 | 93 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 63 | 57 | $0 |
Insurance plans in this area (ZIP 22204)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | VA | 11101 | Biopsy of each additional growth of skin and/or tissue | 16 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA |
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