MRS. KATHERINE WILEY POINDEXTER (PA-C, RDN) – Dermatology Physician, NPI 1538673058
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. KATHERINE WILEY POINDEXTER (PA-C, RDN)
1246 Morvenwood Rd
Jacksonville, FL 322075364
Phone: (404) 290-1456
Type: Location
183 Landrum Ln Ste 201
Ponte Vedra Beach, FL 320823838
Phone: (904) 567-1050
Type: Location
2346, Jose Circle South, Jacksonville, Duval County, Florida, 32217, United States
JACKSONVILLE, FL 322173547
Phone: (404) 290-1456
Type: Mailing
Saint Johns Bluff Road South, Sandalwood, Jacksonville, Duval County, Florida, 32246-6624, United States
JACKSONVILLE, FL 322463777
Phone: (904) 727-9123
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $604.
Total Amount is formed as General ($604) + Research ($0) + Ownership ($0) = $604.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: ABBVIE INC. ($276).
Total Amount
$604
General + Research + Ownership
Payments
25
Total payment records
General Amount
$604
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $276 |
| Janssen Biotech, Inc. | $100 |
| Amgen Inc. | $82 |
| LEO Pharma Inc. | $39 |
| Almirall LLC | $38 |
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: 2018-01-30
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 |
|---|---|---|---|---|
| I20180130003157 | I | Physician Assistant | 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 | 284 | 56 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 116 | 98 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 91 | 73 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 88 | 76 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 50 | $0 |
Insurance plans in this area (ZIP 32207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL |
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