DR. MISSALE L MESFIN (MD) – MOHS-Micrographic Surgery Physician, NPI 1679690333
MOHS-Micrographic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
45 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in VA
Provider Addresses for DR. MISSALE L MESFIN (MD)
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
8301 OLD COURTHOUSE RD
VIENNA, VA 22182
Phone: (703) 442-0300
Fax: (703) 442-0337
Type: Location
8301 Old Courthouse Rd
Vienna, VA 221823804
Phone: (703) 442-0300
Fax: (703) 442-0337
Type: Location
5501 BACKLICK RD STE 120
SPRINGFIELD, VA 221513940
Phone: (703) 705-7505
Fax: (866) 990-3880
Type: Mailing
5501 BACKLICK RD STE 110&120
SPRINGFIELD, VA 221513933
Phone: (703) 705-7505
Fax: (866) 990-3880
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $647.
Total Amount is formed as General ($647) + Research ($0) + Ownership ($0) = $647.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($197).
Total Amount
$647
General + Research + Ownership
Payments
27
Total payment records
General Amount
$647
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $197 |
| Lilly USA, LLC | $122 |
| Ortho Dermatologics, a division of Bausch Health US, LLC | $63 |
| Amgen Inc. | $62 |
| SPINAL ELEMENTS, INC. | $61 |
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: 2014-06-03
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 |
|---|---|---|---|---|
| I20140603001143 | I | Micrographic Dermatologic Surgery (Mds) | DC | 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 | 513 | 408 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 324 | 184 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 256 | 185 | $0 |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 219 | 181 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 194 | 171 | $0 |
Insurance plans in this area (ZIP 54220)
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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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