DR. AVA RISA FELDMAN (D.O.) – Dermatopathology Physician, NPI 1891792958
Dermatopathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
126 DERMATOLOGY in IA
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Provider Addresses for DR. AVA RISA FELDMAN (D.O.)
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542204630
Phone: (920) 663-9034
Fax: (920) 663-0370
Type: Mailing
Heartland Dermatology & Cancer Center, 12327, Stratford Drive, Clive, Polk County, Iowa, 50325, United States
CLIVE, IA 503258148
Phone: (515) 224-7088
Fax: (515) 224-9228
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: 2010-05-20
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 |
|---|---|---|---|---|
| I20100520000218 | I | Dermatology | IA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 64 | 15 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 19 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 18 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 13 | 13 | $0 |
Insurance plans in this area (ZIP 54220)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | IA | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 14 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IA | |
| D E R M A T O L O G Y | IA |
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