DR. MOLLY COURTWRIGHT SHIELDS (MD) – Dermatology Physician, NPI 1952302556
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for DR. MOLLY COURTWRIGHT SHIELDS (MD)
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
1661 SOQUEL DR STE E
SANTA CRUZ, CA 950651709
Phone: (831) 476-2444
Fax: (831) 476-0705
Type: Location
1661, Soquel Drive, Live Oak, Santa Cruz County, California, 95065, United States
BUILDING E
SANTA CRUZ, CA 950651709
Phone: (831) 476-2444
Fax: (831) 476-3271
Type: Mailing
1661 Soquel Dr Ste B
Santa Cruz, CA 950651709
Phone: (831) 476-2444
Fax: (831) 476-0705
Type: Location
1661 Soquel Dr Ste C
Santa Cruz, CA 950651709
Phone: (831) 476-2444
Fax: (831) 476-0705
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2023-08-15 • Largest payer in this snapshot: United Therapeutics Corporation ($33).
Total Amount
$33
General + Research + Ownership
Payments
1
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| United Therapeutics Corporation | $33 |
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: 2004-07-23
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 |
|---|---|---|---|---|
| I20040723000724 | I | Dermatology | CA | 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 | 3,349 | 710 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,549 | 1,100 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,430 | 729 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,133 | 870 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 583 | 498 | $0 |
Insurance plans in this area (ZIP 54220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| D E R M A T O L O G Y | NJ | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | OH | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA |
Reviews
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