ERIKA HAGSTROM (MD) – Dermatology Physician, NPI 1841685658
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
393 DERMATOLOGY in WA
Provider Addresses for ERIKA HAGSTROM (MD)
510 S Cowley St
Spokane, WA 992021332
Phone: (509) 252-1299
Type: Location
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone:
Type: Mailing
2835 FORT MISSOULA RD BLDG 3
MISSOULA, MT 598047423
Phone: (406) 721-5600
Type: Location
PO BOX 7609
MISSOULA, MT 598077609
Phone: (406) 721-5600
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $658.
Total Amount is formed as General ($658) + Research ($0) + Ownership ($0) = $658.
Last reported payment date: 2024-07-29 • Largest payer in this snapshot: ABBVIE INC. ($310).
Total Amount
$658
General + Research + Ownership
Payments
23
Total payment records
General Amount
$658
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-29
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-09-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240718004059 | I | Dermatology | WA | TBD |
| I20240917004149 | I | Dermatology | OR | 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 | 425 | 373 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 393 | 80 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 363 | 232 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 119 | 107 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 101 | 98 | $0 |
Insurance plans in this area (ZIP 99202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OR | |
| Physician Assistant | NV | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | NV | |
| - | AK | |
| - | ID | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | TX | |
| Physician Assistant | OR | |
| Physician Assistant | OR |
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