DR. DOUGLAS ALAN HANSEN (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1124061619
Anatomic Pathology & Clinical Pathology Physician
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NPPES metrics only — not quality of care.
339 DERMATOLOGY in WI
Provider Addresses for DR. DOUGLAS ALAN HANSEN (M.D.)
11211 120th Ave Ste A009B
Pleasant Prairie, WI 531581703
Phone: (262) 283-5333
Fax: (262) 912-0137
Type: Location
2001, Webber Street, Sarasota Heights, Sarasota, Sarasota County, Florida, 34239, United States
SARASOTA, FL 342395237
Phone: (941) 362-8900
Fax: (941) 362-8987
Type: Mailing
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2021-01-27
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 |
|---|---|---|---|---|
| I20060920000093 | I | Pathology | WA | TBD |
| I20210127000582 | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 21,137 | 14,063 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 2,007 | 1,099 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 1,027 | 435 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 685 | 618 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 638 | 494 | $0 |
Insurance plans in this area (ZIP 53158)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | FL | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 63 | 54 |
| PATHOLOGY | FL | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 137 | 80 |
| PATHOLOGY | FL | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 101 | 77 |
| PATHOLOGY | FL | 88342 | Tissue or cell analysis by immunologic technique | 81 | 64 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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