DR. MANISH J GHARIA (MD) – Dermatology Physician, NPI 1376565267
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
Provider Addresses for DR. MANISH J GHARIA (MD)
788, North Jefferson Street, East Town, Milwaukee, Milwaukee County, Wisconsin, 53202, United States
SUITE 300/ ATTN. KAAREN BUTZEN
MILWAUKEE, WI 532023710
Phone: (414) 272-8950
Fax: (414) 272-0859
Type: Mailing
1 Hospital Rd
Oak Bluffs, MA 025571406
Phone: (508) 693-0410
Type: Location
765 SAFER CT
BROOKFIELD, WI 530456783
Phone: (414) 313-0255
Type: Mailing
13800 W NORTH AVE STE 100
BROOKFIELD, WI 530054977
Phone: (262) 754-4488
Fax: (262) 754-4940
Type: Mailing
Columbia St. Mary's Park Woods Campus, 375, West River Woods Parkway, Glendale, Milwaukee County, Wisconsin, 53212, United States
GLENDALE, WI 532121080
Phone: (414) 326-1514
Fax: (414) 326-1574
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-01-28
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 |
|---|---|---|---|---|
| I20040316001158 | I | Dermatology | WI | TBD |
| I20250128000049 | I | Dermatology | MA | 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 | 99 | 81 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 73 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 50 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 37 | 36 | $0 |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 11 | 11 | $0 |
Insurance plans in this area (ZIP 53202)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | WI | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 37 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Nurse Practitioner | IL | |
| - | WI | |
| O P H T H A L M O L O G Y | IL | |
| - | WI | |
| - | IL | |
| - | WI | |
| Diagnostic Radiology | IL | |
| Nurse Practitioner | IL |
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