KEVAN G LEWIS (MD) – MOHS-Micrographic Surgery Physician, NPI 1497970560
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
339 DERMATOLOGY in WI
Provider Addresses for KEVAN G LEWIS (MD)
2221 S WEBSTER AVE
STE 241
GREEN BAY, WI 543012158
Phone: (920) 965-0345
Fax: (920) 273-6011
Type: Mailing
3059 VOYAGER DR
GREEN BAY, WI 543118303
Phone: (920) 965-0345
Fax: (920) 257-4559
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.
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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: 2013-09-04
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 |
|---|---|---|---|---|
| I20100422001006 | I | Micrographic Dermatologic Surgery (Mds) | WI | TBD |
| I20130904000464 | I | Micrographic Dermatologic Surgery (Mds) | MI | 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 | 2,517 | 1,386 | $0 |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 1,022 | 59 | $0 |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 984 | 59 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 952 | 56 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 822 | 117 | $0 |
Insurance plans in this area (ZIP 54301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | WI | 11101 | Biopsy of each additional growth of skin and/or tissue | 256 | 189 |
| DERMATOLOGY | WI | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 218 | 181 |
| DERMATOLOGY | WI | 17003 | Destruction of 2-14 skin growths | 2031 | 325 |
| DERMATOLOGY | WI | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 74 | 53 |
| DERMATOLOGY | WI | 88342 | Tissue or cell analysis by immunologic technique | 930 | 552 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| - | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Physician Assistant | MI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI |
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