DR. DARRELL JONATHAN FADER (MD) – MOHS-Micrographic Surgery Physician, NPI 1386688380
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 DERMATOLOGY in WA
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Provider Addresses for DR. DARRELL JONATHAN FADER (MD)
Ballard Medical Plaza, 1801, Northwest Market Street, Ballard, Seattle, King County, Washington, 98107, United States
SUITE 107
SEATTLE, WA 981073987
Phone: (206) 789-1177
Fax: (206) 789-2261
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 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-06-07 • Largest payer in this snapshot: Janssen Biotech, Inc. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, 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: 2024-06-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040525001100 | I | Dermatology | WA | TBD |
| I20230622001832 | I | Dermatology | FL | TBD |
| I20240618001098 | I | Dermatology | MT | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 236 | 199 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 211 | 78 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 123 | 122 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 121 | 103 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 112 | 87 | $0 |
Insurance plans in this area (ZIP 98107)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MT | |
| D E R M A T O L O G Y | WA | |
| D E R M A T O L O G Y | MT | |
| D E R M A T O L O G Y | MN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | WA |
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