DR. CHARLES NORMAN KAGEN (M.D.) – Dermatology Physician, NPI 1114015674
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
339 DERMATOLOGY in WI
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Provider Addresses for DR. CHARLES NORMAN KAGEN (M.D.)
100, West Lawrence Street, 1, Appleton, Outagamie County, Wisconsin, 54911, United States
SUITE 409
APPLETON, WI 549115773
Phone: (920) 733-5138
Fax: (920) 733-3759
Mailing address matches the actual address.
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: 2007-01-25
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 |
|---|---|---|---|---|
| I20070125000140 | 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 | 315 | 91 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 169 | 127 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 150 | 124 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 92 | 87 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 90 | 80 | $0 |
Insurance plans in this area (ZIP 54911)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | WI | 17003 | Destruction of 2-14 skin growths | 299 | 116 |
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