DR. JAMES CONNELLEY COLLYER (M.D.) – Dermatology Physician, NPI 1396907960

DR. JAMES CONNELLEY COLLYER (M.D.) is a healthcare provider. based in Seattle, Washington. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. MD60015861 (WA). The NPI Number for DR. JAMES CONNELLEY COLLYER (M.D.) is 1396907960

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES CONNELLEY COLLYER (M.D.)
NPI
1396907960
Phone
(206) 489-2530
Address
1021 MERCER ST
Enumeration Date
25 June 2008
Last Update Date
26 October 2018

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
2064892530
Graduation Year
2004 (22 years ago)
PAC ID
0749354926
Group Practice PAC ID
1456672096
Professional Enrollment ID
I20080806000314
Address ID
WA981094324SE1021XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

393 DERMATOLOGY in WA

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Provider Addresses for DR. JAMES CONNELLEY COLLYER (M.D.)

  • 1021, Mercer Street, South Lake Union, Belltown, Seattle, King County, Washington, 98109, United States

    SEATTLE, WA 981094324

    Phone: (206) 489-2530

    Fax: (206) 489-2531

    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 192 Open Payments records for all available years, with a total value of $41,899.

Total Amount is formed as General ($41,899) + Research ($0) + Ownership ($0) = $41,899.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: UCB, Inc. ($24,354).

Total Amount

$41,899

General + Research + Ownership

Payments

192

Total payment records

General Amount

$41,899

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

View all Open Payments →|Open Payments Risk Radar →

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: 2008-08-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080806000314IDermatologyWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths569105$0
99213Established patient office or other outpatient visit, 20-29 minutes224154$0
17000Destruction of precancer skin growth, 1 growth208131$0
17110Destruction of skin growth, 1-14 growths10179$0
11102Biopsy of related skin growth, first growth7868$0
View full utilization report →

Insurance plans in this area (ZIP 98109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456672096View full group profile
NameSpecialtyState
D E R M A T O L O G YWA
D E R M A T O L O G YWA
D E R M A T O L O G YIL
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

Where can patients find DR. JAMES CONNELLEY COLLYER (M.D.)'s NPI?
You can confirm DR. JAMES CONNELLEY COLLYER (M.D.) with NPI 1396907960; it appears in the national provider directory.
Is DR. JAMES CONNELLEY COLLYER (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. JAMES CONNELLEY COLLYER (M.D.)?
The page reflects Dermatology Physician for DR. JAMES CONNELLEY COLLYER (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. JAMES CONNELLEY COLLYER (M.D.)'s primary listing?
We display Seattle, Washington because that is what the record indicates for DR. JAMES CONNELLEY COLLYER (M.D.).
What if Seattle, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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