MARTHE NGONGANG DIKA (M.D.) – Dermatology Physician, NPI 1043604424
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
339 DERMATOLOGY in WI
Provider Addresses for MARTHE NGONGANG DIKA (M.D.)
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
10500 W LOOMIS RD STE 110
FRANKLIN, WI 531328030
Phone: (262) 898-4400
Fax: (414) 858-9104
Type: Location
2500 W SILVER SPRING DR
GLENDALE, WI 532094218
Phone: (414) 433-7692
Fax: (906) 208-6538
Type: Location
1050 MILWAUKEE AVE STE 101
BURLINGTON, WI 531051380
Phone: (414) 433-7692
Fax: (906) 208-6538
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 109 Open Payments records for all available years, with a total value of $4,277.
Total Amount is formed as General ($4,277) + Research ($0) + Ownership ($0) = $4,277.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GENZYME CORPORATION ($1,982).
Total Amount
$4,277
General + Research + Ownership
Payments
109
Total payment records
General Amount
$4,277
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 |
|---|---|
| GENZYME CORPORATION | $1,982 |
| Lilly USA, LLC | $515 |
| Janssen Biotech, Inc. | $380 |
| Amgen Inc. | $181 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $161 |
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: 2019-08-07
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 |
|---|---|---|---|---|
| I20190807001632 | I | Dermatology | WI | 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 | 255 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 170 | 112 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 141 | 112 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 110 | 110 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 95 | 95 | $0 |
Insurance plans in this area (ZIP 54220)
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