DR. BLAKE R ZELICKSON (M.D., PH.D.) – Dermatology Physician, NPI 1902292394
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
471 DERMATOLOGY in VA
Provider Addresses for DR. BLAKE R ZELICKSON (M.D., PH.D.)
224D CORNWALL ST NW STE 403
LEESBURG, VA 201762704
Phone: (703) 737-6001
Fax: (901) 448-1299
Type: Mailing
22365 BRODERICK DR STE 115
STERLING, VA 201669362
Phone: (703) 996-4000
Fax: (571) 707-8123
Type: Mailing
22365 BRODERICK DRIVE, SUITE 115
STERLING, VA 201669362
Phone: (170) 399-6400
Fax: (571) 707-8123
Type: Location
21785 FILIGREE CT STE 206
ASHBURN, VA 201476214
Phone: (703) 996-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $1,553.
Total Amount is formed as General ($1,553) + Research ($0) + Ownership ($0) = $1,553.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($277).
Total Amount
$1,553
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,553
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $277 |
| Lilly USA, LLC | $243 |
| UCB, Inc. | $184 |
| Galderma Laboratories, L.P. | $124 |
| Regeneron Healthcare Solutions, Inc. | $87 |
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: 2020-07-07
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 |
|---|---|---|---|---|
| I20200707000356 | I | Dermatology | VA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 152 | 131 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 152 | 28 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 114 | 94 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 60 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 80 | 11 | $0 |
Insurance plans in this area (ZIP 20176)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | VA |
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