DR. CASEY A CARLOS (MD) – Dermatopathology Physician, NPI 1710149430
Dermatopathology 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. CASEY A CARLOS (MD)
Mercer Island Post Office, 3040, 78th Avenue Southeast, Beaumont, Mercer Island, King County, Washington, 98040, United States
SUITE 958
MERCER ISLAND, WA 980403094
Phone: (425) 753-2918
Type: Mailing
832, 102nd Avenue Northeast, Bellevue, King County, Washington, 98004, United States
BELLEVUE, WA 980044117
Phone: (425) 753-2918
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2016-02-10
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 |
|---|---|---|---|---|
| I20160210001321 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 547 | 115 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 496 | 320 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 234 | 155 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 218 | 166 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 209 | 153 | $0 |
Insurance plans in this area (ZIP 98040)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | WA | 11101 | Biopsy of each additional growth of skin and/or tissue | 25 | 16 |
| DERMATOLOGY | WA | 17003 | Destruction of 2-14 skin growths | 270 | 49 |
| DERMATOLOGY | WA | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 22 | 17 |
| DERMATOLOGY | WA | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 49 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| 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 | MA | |
| Nurse Practitioner | PA | |
| D E R M A T O L O G Y | WA | |
| Nurse Practitioner | WA |
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