MRS. NICOLE PREVO KAGEYAMA (M.D.) – Dermatology Physician, NPI 1407858665
Dermatology 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 MRS. NICOLE PREVO KAGEYAMA (M.D.)
112th Avenue Northeast, Bellevue, King County, Washington, 98009, United States
SUITE C-187
BELLEVUE, WA 98007
Phone: (425) 457-7900
Fax: (425) 457-7499
Type: Mailing
Southwest 43rd Street, Renton, King County, Washington, 98055, United States
RENTON, WA 980574803
Phone: (425) 264-0660
Fax: (425) 264-0601
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 278 Open Payments records for all available years, with a total value of $5,593.
Total Amount is formed as General ($5,593) + Research ($0) + Ownership ($0) = $5,593.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($760).
Total Amount
$5,593
General + Research + Ownership
Payments
278
Total payment records
General Amount
$5,593
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $760 |
| E.R. Squibb & Sons, L.L.C. | $540 |
| Arcutis Biotherapeutics, Inc. | $534 |
| Janssen Biotech, Inc. | $334 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $280 |
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: 2006-03-08
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 |
|---|---|---|---|---|
| I20060308000099 | I | Dermatology | WA | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,703 | 893 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,627 | 347 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 714 | 406 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 526 | 317 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 393 | 251 | $0 |
Insurance plans in this area (ZIP 98007)
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