DR. LAUREN ANN KYLE TKACHUK (MD) – Dermatology Physician, NPI 1760709679
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
99 DERMATOLOGY in KS
Provider Addresses for DR. LAUREN ANN KYLE TKACHUK (MD)
PO BOX 741331
ATLANTA, GA 303741331
Phone: (913) 469-0503
Type: Mailing
7840 W 165TH ST STE 260
OVERLAND PARK, KS 662233020
Phone: (913) 871-8221
Fax: (913) 273-0337
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $1,847.
Total Amount is formed as General ($1,847) + Research ($0) + Ownership ($0) = $1,847.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($445).
Total Amount
$1,847
General + Research + Ownership
Payments
78
Total payment records
General Amount
$1,847
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $445 |
| Galderma Laboratories, L.P. | $324 |
| ABBVIE INC. | $233 |
| Sensus Healthcare, Inc. | $165 |
| Janssen Biotech, Inc. | $119 |
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: 2014-11-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (927 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20141126000797 | I | Dermatology | KS | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 856 | 139 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 426 | 282 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 279 | 181 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 186 | 122 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 149 | 121 | $0 |
Insurance plans in this area (ZIP 30374)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Micrographic Dermatologic Surgery (Mds) | OR | |
| Physician Assistant | MO | |
| Physician Assistant | CA | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | KS | |
| D E R M A T O L O G Y | IA |
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