BETSY COODUVALLI (DO) – Dermatology Physician, NPI 1437410230
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BETSY COODUVALLI (DO)
2910 Brownwood Blvd
The Villages, FL 32163
Phone: (352) 674-8700
Type: Location
106 Boston Ave Ste 100
Altamonte Springs, FL 327014712
Phone: (407) 846-7546
Fax: (321) 206-5419
Type: Location
PO BOX 690609
ORLANDO, FL 328690609
Phone: (407) 846-7546
Fax: (321) 206-5419
Type: Mailing
500 N WASHINGTON AVE STE 109
TITUSVILLE, FL 32796
Phone: (321) 768-1600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $69.
Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.
Last reported payment date: 2023-09-21 • Largest payer in this snapshot: Lilly USA, LLC ($22).
Total Amount
$69
General + Research + Ownership
Payments
4
Total payment records
General Amount
$69
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $22 |
| Galderma Laboratories, L.P. | $17 |
| Janssen Biotech, Inc. | $16 |
| Sun Pharmaceutical Industries Inc. | $14 |
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: 2012-07-27
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 |
|---|---|---|---|---|
| I20120727000240 | I | Dermatology | FL | 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 | 196 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 46 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 52 | 41 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 47 | 47 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 46 | 22 | $0 |
Insurance plans in this area (ZIP 32163)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Family Practice | FL |
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