KENDALL BETH ADKISSON (M.D.) – Dermatology Physician, NPI 1851549695
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Provider Addresses for KENDALL BETH ADKISSON (M.D.)
340 Town Plaza Ave Ste 210
Ponte Vedra, FL 320815169
Phone: (904) 404-8555
Fax: (904) 517-1619
Type: Location
4776, Hodges Boulevard, Jacksonville, Duval County, Florida, 32224, United States
SUITE 105
JACKSONVILLE, FL 322247217
Phone: (904) 404-8555
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $383.
Total Amount is formed as General ($383) + Research ($0) + Ownership ($0) = $383.
Last reported payment date: 2024-07-08 • Largest payer in this snapshot: Incyte Corporation ($100).
Total Amount
$383
General + Research + Ownership
Payments
10
Total payment records
General Amount
$383
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-08
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-09-26
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 |
|---|---|---|---|---|
| I20110926000332 | 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 | 703 | 148 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 471 | 374 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 249 | 204 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 211 | 183 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 119 | 105 | $0 |
Insurance plans in this area (ZIP 32081)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL |
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