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NPI 1275283103ActiveIndividual· Dermatology· Rochester, MN
Dermatology in Rochester, Minnesota, trained at University of Kentucky College of Medicine (class of 2023). Part D covered 44 prescriptions written in 2024, 93% of them generic.
Overview
| NPI | 1275283103 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 24, 2022 |
| Last updated in NPPES | Aug 27, 2024 |
| Certified by provider | Aug 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 77758 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dermatology (MN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 44 · 52 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $1,927 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | University of Kentucky College of Medicine |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Dermatology |
Medical group
- Mayo ClinicRochester, MN · 4,956 clinicians
Hospital affiliation
- Mayo Clinic Hospital RochesterRochester, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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