DR. CHARLES MAXWELL WEDDINGTON (M.D.) – Dermatology Physician, NPI 1003347519
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
Provider Addresses for DR. CHARLES MAXWELL WEDDINGTON (M.D.)
2160 S 1st Ave
Loyola University Medical Center
Maywood, IL 601533328
Phone: (708) 216-4943
Fax: (708) 216-4943
Type: Location
419 W Redwood St Ste 235
Baltimore, MD 212011734
Phone: (667) 214-1171
Type: Location
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
MAYWOOD, IL 601533328
Phone:
Type: Mailing
2299 POST ST STE 312
SAN FRANCISCO, CA 941153475
Phone: (415) 292-6350
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $745.
Total Amount is formed as General ($745) + Research ($0) + Ownership ($0) = $745.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($209).
Total Amount
$745
General + Research + Ownership
Payments
21
Total payment records
General Amount
$745
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $209 |
| Lilly USA, LLC | $151 |
| E.R. Squibb & Sons, L.L.C. | $84 |
| PFIZER INC. | $58 |
| Regeneron Healthcare Solutions, Inc. | $33 |
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: 2023-02-08
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 |
|---|---|---|---|---|
| I20230208002654 | I | Dermatology | MD | 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 | 148 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 92 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 59 | 59 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 49 | 48 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 40 | 34 | $0 |
Insurance plans in this area (ZIP 60153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MD | |
| D E R M A T O L O G Y | MD | |
| D E R M A T O L O G Y | MD | |
| - | MD | |
| D E R M A T O L O G Y | MD | |
| Nurse Practitioner | MD | |
| D E R M A T O L O G Y | MD | |
| D E R M A T O L O G Y | MD | |
| D E R M A T O L O G Y | MD | |
| Physician Assistant | MD |
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