KATHLEEN P SOE (D.O.) – Dermatology Physician, NPI 1386633394

KATHLEEN P SOE (D.O.) is a healthcare provider. based in Dunedin, Florida. specializing in DERMATOLOGY. They hold the professional credentials D.O.. They hold a License No. OS8204 (FL). The NPI Number for KATHLEEN P SOE (D.O.) is 1386633394

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN P SOE (D.O.)
NPI
1386633394
Phone
(727) 734-4551
Address
725 VIRGINIA STREET
Enumeration Date
21 October 2005
Last Update Date
2 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7277344551
Graduation Year
1999 (27 years ago)
PAC ID
1759367873
Professional Enrollment ID
I20040629000522
Address ID
FL346986615DU725XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

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Provider Addresses for KATHLEEN P SOE (D.O.)

  • 725, Virginia Street, Victoria Palms, Dunedin, Pinellas County, Florida, 34698, United States

    DUNEDIN, FL 346986615

    Phone: (727) 734-4551

    Fax: (727) 736-8648

    Type: Mailing

  • 4651 VAN DYKE RD

    LUTZ, FL 335584880

    Phone: (813) 321-1786

    Fax: (813) 321-1787

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2024-07-29 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($69).

Total Amount

$95

General + Research + Ownership

Payments

6

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-06-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040629000522IDermatologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1,4341,150$0
17003Destruction of precancer skin growth, 2-14 growths1,057166$0
11102Biopsy of related skin growth, first growth361309$0
17110Destruction of skin growth, 1-14 growths350300$0
17000Destruction of precancer skin growth, 1 growth323267$0
View full utilization report →

Insurance plans in this area (ZIP 34698)

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Provider's Procedures

KATHLEEN P SOE (D.O.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL11101Biopsy of each additional growth of skin and/or tissue2320
DERMATOLOGYFL17003Destruction of 2-14 skin growths13640

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Frequently asked questions

What number should I use to identify KATHLEEN P SOE (D.O.) for billing?
Administrative and clinical systems typically use NPI 1386633394 for KATHLEEN P SOE (D.O.).
Should I treat KATHLEEN P SOE (D.O.) as an active provider?
Patients and plans typically see KATHLEEN P SOE (D.O.) as active in the national extract.
How should patients interpret KATHLEEN P SOE (D.O.)'s specialty?
The extract shows Dermatology Physician for KATHLEEN P SOE (D.O.). Clinical services aligned with this taxonomy classification.
Can patients visit KATHLEEN P SOE (D.O.) in Dunedin, Florida?
For routing, start with Dunedin, Florida for KATHLEEN P SOE (D.O.), then verify phone and hours locally.
Who maintains KATHLEEN P SOE (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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