Doctor profile · Federal record
Dr. IBRAHIM TANGOREN, M.D.
Dermatology Physician (CMS: DERMATOLOGY) · SYRACUSE, NY
- NPI 1770578601
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 31 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2949 ERIE BOULEVARD EAST
SYRACUSE, NY 132241460
(315) 579-9037
fax (315) 424-1779
Credentials & registration
- NPI registered
- September 2005 — 21 yrs on file
- Profile last updated
- October 25, 2016
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 207N00000X — NUCC code
- State license (1)
- New York #209386
- Medicaid
- NY #01899210
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770578601. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,292
Distinct HCPCS
10
Medicare allowed
$214,188
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 1,175 | 224 | $6 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 549 | 390 | $122 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 516 | 405 | $86 | |
17000 |
Destruction of precancer skin growth, 1 growth | 396 | 318 | $53 | |
11102 |
Biopsy of related skin growth, first growth | 160 | 146 | $87 | |
17110 |
Destruction of skin growth, 1-14 growths | 148 | 135 | $107 | |
11103 |
Biopsy of related skin growth, each additional growth | 57 | 42 | $48 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 56 | 52 | $54 | |
17004 |
Destruction of precancer skin growth, 15 or more growths | 39 | 34 | $154 | |
11642 |
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm | 36 | 35 | $136 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 182. This provider delivers 18× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,532
Patients
1,134
Total drug cost
$55,756
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Mupirocin | Generic | 202 | 175 | $1,288 |
| Ketoconazole | Generic | 159 | 113 | $4,575 |
| Metronidazole | Generic | 144 | 85 | $8,860 |
| Triamcinolone Acetonide | Generic | 124 | 102 | $2,548 |
| Mometasone Furoate | Generic | 119 | 92 | $2,588 |
| Cefdinir | Generic | 114 | 104 | $1,402 |
| Nystatin | Generic | 106 | 67 | $1,883 |
| Econazole Nitrate | Generic | 104 | 74 | $6,058 |
| Fluorouracil | Generic | 91 | 89 | $9,103 |
| Valacyclovir (Valacyclovir Hcl) | Brand | 80 | 38 | $2,251 |