DR. NOBUYOSHI KAGEYAMA (M. D.) – MOHS-Micrographic Surgery Physician, NPI 1679561427
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. NOBUYOSHI KAGEYAMA (M. D.)
1200 112TH AVE NE STE C187
BELLEVUE, WA 980043749
Phone: (425) 457-7900
Fax: (425) 457-7499
Type: Mailing
Women's & Family Specialists, 1412, Southwest 43rd Street, Renton, King County, Washington, 98013, United States
SUITE 205
RENTON, WA 980574803
Phone: (425) 264-0660
Fax: (425) 264-0601
Type: Location
1200 112th Ave NE Ste C187
Bellevue, WA 980043749
Phone: (425) 457-7900
Fax: (425) 457-7499
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $910.
Total Amount is formed as General ($910) + Research ($0) + Ownership ($0) = $910.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($293).
Total Amount
$910
General + Research + Ownership
Payments
12
Total payment records
General Amount
$910
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $293 |
| Dermavant Sciences, Inc. | $177 |
| LEO Pharma Inc. | $144 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $125 |
| Organogenesis Inc. | $89 |
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: 2006-06-27
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 |
|---|---|---|---|---|
| I20060627000090 | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 282 | 229 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 135 | 113 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 125 | 94 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 71 | 52 | $0 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 70 | 63 | $0 |
Insurance plans in this area (ZIP 98004)
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