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Deactivated NPI 1649212937 Deactivated / Inactive NPI Male Practitioner

Dr. Michael L Cusack , MD

Dermatology • Anchorage, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Cusack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 12, 2006
NPI Deactivation Date September 09, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Cusack, MD was a registered Dermatology practicing in Anchorage, AK. Throughout an active medical career spanning 13 years, Dr. Cusack provided care at the practice location at 110 W 38TH AVE STE A2 until profile deactivation on 2019-09-09.

Historical Medicare Part B clinical services included established patient outpatient office visit, shaving of skin growth of body, arms, or legs, 1.1-2.0 cm, shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

110 W 38th Ave Ste A2

Anchorage, AK 995035677

Telephone 9075622275
Fax 9075637929
Associated Practice Facility / Clinic
🏢 Aesthetica Medical Spa Llc Facility NPI 1154363752

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Anchorage, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.1 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Anchorage, AK (23 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
90 56 $216.00 $92.77
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
33 15 $567.00 $117.05
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
17 11 $657.00 $160.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $320.00 $135.62

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AK 432761

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Timothy Morgan , PA-C

Physician Assistant

NPI 1578540159

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 09, 2019

Record deactivated on September 09, 2019

NPI Profile Active June 18, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 18, 2013

Registered at 110 W 38TH AVE STE A2, ANCHORAGE, AK 995035677 (Tel: 9075622275)

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Updated Business Mailing Address June 18, 2013

Registered at 110 W 38TH AVE STE A2, ANCHORAGE, AK 995035677 (Tel: 9075622275)

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Provider Name / Credentials Updated June 18, 2013

Recorded as MICHAEL CUSACK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2013

Dermatology (License #432761 in AK)

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Initial NPI Registration & Enumeration June 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649212937
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2006
Last Update: June 18, 2013
Deactivation Date: September 09, 2019

Mailing Address

110 W 38th Ave Ste A2

Anchorage, AK 995035677

Phone: 9075622275

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.