MACINNIS DERMATOLOGY – MOHS-Micrographic Surgery Physician, NPI 1992035695
MOHS-Micrographic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MACINNIS DERMATOLOGY
17521 US Highway 27
Suite 21
Mt Dora, FL 327573275
Phone: (352) 350-5230
Fax: (352) 350-5230
Type: Location
1950 Laurel Manor Dr Ste 124
The Villages, FL 321625602
Phone: (352) 350-5230
Fax: (866) 539-7193
Type: Location
4120 Corley Island Rd
Suite 600
Leesburg, FL 347488292
Phone: (352) 350-5230
Type: Location
PO BOX 490558
LEESBURG, FL 347490558
Phone: (352) 350-5230
Type: Mailing
27950, US 27, Leesburg, Lake County, Florida, 34748, United States
LEESBURG, FL 347489050
Phone: (352) 350-5230
Fax: (866) 539-7193
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-02-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (836 days ago).
Enrollment records
1
Earliest due date
2024-02-29
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 |
|---|---|---|---|---|
| O20100206000259 | O | Clinic/Group Practice | FL | 2024-02-29 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 32757)
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