DR. TAYLOR BENOIT MULKEY (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1760679203

DR. TAYLOR BENOIT MULKEY (M.D.) is a healthcare provider. based in Manitowoc, Wisconsin. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 30772 (SC). The NPI Number for DR. TAYLOR BENOIT MULKEY (M.D.) is 1760679203

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAYLOR BENOIT MULKEY (M.D.)
NPI
1760679203
Phone
(920) 663-9008
Address
801 YORK ST
Enumeration Date
28 September 2007
Last Update Date
20 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8438814440
Graduation Year
2007 (19 years ago)
PAC ID
0941487771
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20210316002275
Address ID
SC294648247MT612XXPKWY300

Contacts

Other Endpoint
n/a
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

1,366 DERMATOLOGY in FL

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Provider Addresses for DR. TAYLOR BENOIT MULKEY (M.D.)

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • Dermatology Advanced Care, 1707, Riggins Road, Tallahassee, Leon County, Florida, 32308, United States

    TALLAHASSEE, FL 323085317

    Phone: (850) 877-4134

    Fax: (850) 402-9130

    Type: Location

  • 1814 Crowne Commons Way Ste E7

    Johns Island, SC 294554932

    Phone: (843) 881-4440

    Fax: (843) 737-5288

    Type: Location

  • 14490 Ocean Hwy

    Pawleys Island, SC 295854821

    Phone: (843) 881-4440

    Fax: (843) 314-0785

    Type: Location

  • 602 N Main St

    Summerville, SC 294836627

    Phone: (843) 881-4440

    Fax: (843) 225-0110

    Type: Location

  • PO BOX 13834

    TALLAHASSEE, FL 323173834

    Phone: (850) 877-4134

    Fax: (850) 402-9130

    Type: Mailing

  • 612 SEACOAST PKWY

    MT PLEASANT, SC 294648247

    Phone: (843) 881-4440

    Fax: (843) 884-8540

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 149 Open Payments records for all available years, with a total value of $2,763.

Total Amount is formed as General ($2,763) + Research ($0) + Ownership ($0) = $2,763.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($465).

Total Amount

$2,763

General + Research + Ownership

Payments

149

Total payment records

General Amount

$2,763

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-03-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110603000528IDermatologyKYTBD
I20180906003448IDermatologyTNTBD
I20200506002554IDermatologyFLTBD
I20210316002275IDermatologySCTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks419339$0
17003Destruction of precancer skin growth, 2-14 growths30450$0
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm181161$0
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks154128$0
13121Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm153140$0
View full utilization report →

Insurance plans in this area (ZIP 54220)

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Provider's Procedures

DR. TAYLOR BENOIT MULKEY (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYKY11101Biopsy of each additional growth of skin and/or tissue4835

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

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Frequently asked questions

Can I verify DR. TAYLOR BENOIT MULKEY (M.D.) with an NPI only?
You can start verification with NPI 1760679203 for DR. TAYLOR BENOIT MULKEY (M.D.), then check state licensing separately.
Does the file indicate DR. TAYLOR BENOIT MULKEY (M.D.) is practicing under active NPI?
Directory data currently reports DR. TAYLOR BENOIT MULKEY (M.D.) as active.
What is DR. TAYLOR BENOIT MULKEY (M.D.)'s specialty?
The listing groups DR. TAYLOR BENOIT MULKEY (M.D.) with MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does DR. TAYLOR BENOIT MULKEY (M.D.) serve?
DR. TAYLOR BENOIT MULKEY (M.D.)'s listing highlights Manitowoc, Wisconsin; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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