SAMANTHA S WYATT (M.D.) – Dermatology Physician, NPI 1942247150
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
207 DERMATOLOGY in AL
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Provider Addresses for SAMANTHA S WYATT (M.D.)
620, Walnut Street Northeast, Decatur, Morgan County, Alabama, 35601, United States
SUITE A
DECATUR, AL 356012456
Phone: (256) 353-7775
Fax: (256) 353-7765
Mailing address matches the actual address.
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.
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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: 2005-08-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050823000933 | I | Dermatology | AL | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,216 | 361 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 720 | 544 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 626 | 453 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 203 | 154 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 164 | 142 | $0 |
Insurance plans in this area (ZIP 35601)
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