BERTHA BIN-SAN LIN (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1043373889

BERTHA BIN-SAN LIN (M.D.) is a healthcare provider. based in Petaluma, California. specializing in MOHS-Micrographic Surgery Physician. They hold the professional credentials M.D.. They hold a License No. G85904 (CA). The NPI Number for BERTHA BIN-SAN LIN (M.D.) is 1043373889

Main info

Female
Name
BERTHA BIN-SAN LIN (M.D.)
NPI
1043373889
Phone
(707) 762-5531
Address
165 LYNCH CREEK WAY
Enumeration Date
19 December 2006
Last Update Date
8 August 2024

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for BERTHA BIN-SAN LIN (M.D.)

  • Lynch Creek Way, Petaluma, Sonoma County, California, 94954, United States

    PETALUMA, CA 949542343

    Phone: (707) 762-5531

    Fax: (707) 762-5976

    Type: Location

  • 5 Silver Lace Ct

    San Rafael, CA 949031087

    Phone: (415) 407-5084

    Type: Location

  • 500, Alfred Nobel Drive, Hercules, Contra Costa County, California, 94547, United States

    SUITE 245

    HERCULES, CA 945471838

    Phone: (510) 741-7299

    Fax: (510) 741-7493

    Type: Mailing

  • 2725 MENDOCINO AVE

    SANTA ROSA, CA 954032805

    Phone: (707) 545-4537

    Fax: (707) 545-6726

    Type: Mailing

  • 4727 HOEN AVE STE A

    SANTA ROSA, CA 954057898

    Phone: (707) 545-4537

    Fax: (707) 545-6726

    Type: Location

  • 5 SILVER LACE CT

    SAN RAFAEL, CA 949031087

    Phone: (415) 407-5084

    Type: Mailing

  • 99 MONTECILLO RD

    SAN RAFAEL, CA 949033308

    Phone: (415) 444-2233

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-06-28 • Largest payer in this snapshot: ABBVIE INC. ($50).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$50
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: 2007-07-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070702000368IDermatologyCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94954)

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Provider's Procedures

BERTHA BIN-SAN LIN (M.D.) performs procedures in MOHS-Micrographic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCA11101Biopsy of each additional growth of skin and/or tissue5129
DERMATOLOGYCA17003Destruction of 2-14 skin growths23434

Reviews

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Frequently asked questions

What is the registry number for BERTHA BIN-SAN LIN (M.D.)?
The registry entry for BERTHA BIN-SAN LIN (M.D.) shows NPI 1043373889.
Should I treat BERTHA BIN-SAN LIN (M.D.) as an active provider?
Patients and plans typically see BERTHA BIN-SAN LIN (M.D.) as active in the national extract.
Which specialty label fits BERTHA BIN-SAN LIN (M.D.)?
NPPES ties BERTHA BIN-SAN LIN (M.D.) to MOHS-Micrographic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to BERTHA BIN-SAN LIN (M.D.)?
BERTHA BIN-SAN LIN (M.D.) shows a connection to Petaluma, California in registry-derived data.
Who maintains BERTHA BIN-SAN LIN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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