MUSTUFA ABBAS JAFRY (MD) – MOHS-Micrographic Surgery Physician, NPI 1447888540
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
29 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in WA
Provider Addresses for MUSTUFA ABBAS JAFRY (MD)
3825 Martin Way E Ste 104
Olympia, WA 985065278
Phone: (971) 915-8579
Fax: (503) 362-8435
Type: Location
747 BROADWAY
HEATH BUILDING 10TH FLOOR
SEATTLE, WA 98122
Phone: (206) 386-2123
Type: Mailing
1793 13TH ST SE
SALEM, OR 973022541
Phone: (503) 362-8385
Fax: (503) 362-8435
Type: Mailing
15906 MILL CREEK BLVD STE 105
MILL CREEK, WA 980121797
Phone: (425) 385-2009
Fax: (425) 939-0807
Type: Location
3216 NE 45th Pl Ste 203
Seattle, WA 981054028
Phone: (206) 525-1168
Fax: (206) 525-1169
Type: Location
1338 Commerce Ave Ste 106
Longview, WA 986323732
Phone: (971) 915-8587
Fax: (503) 362-8435
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $2,318.
Total Amount is formed as General ($2,318) + Research ($0) + Ownership ($0) = $2,318.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($383).
Total Amount
$2,318
General + Research + Ownership
Payments
27
Total payment records
General Amount
$2,318
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 |
|---|---|
| Dermavant Sciences, Inc. | $383 |
| GENZYME CORPORATION | $255 |
| Janssen Biotech, Inc. | $214 |
| Regeneron Healthcare Solutions, Inc. | $210 |
| PFIZER INC. | $195 |
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: 2025-10-03
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 |
|---|---|---|---|---|
| I20251003003394 | I | Micrographic Dermatologic Surgery (Mds) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | WA | |
| D E R M A T O L O G Y | OR | |
| D E R M A T O L O G Y | WA | |
| Physician Assistant | WA | |
| D E R M A T O L O G Y | WA | |
| Nurse Practitioner | WA | |
| D E R M A T O L O G Y | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | OR |
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