TORI NICOLE DIEDRING (DO) – Dermatology Physician, NPI 1033747688
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
247 DERMATOLOGY in IN
Provider Addresses for TORI NICOLE DIEDRING (DO)
7910 N SHADELAND AVE
INDIANAPOLIS, IN 462502041
Phone: (317) 516-5000
Fax: (317) 516-5001
Type: Mailing
28333 Harper Ave
Saint Clair Shores, MI 480811687
Phone: (586) 776-9770
Type: Location
6403 CHAMPION WAY
COLLEYVILLE, TX 760347582
Phone: (806) 282-8094
Type: Mailing
5333 MCAULEY DRIVE
SUITE 4001
YPSILANTI, MI 48197
Phone: (734) 712-3980
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $1,014.
Total Amount is formed as General ($1,014) + Research ($0) + Ownership ($0) = $1,014.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($286).
Total Amount
$1,014
General + Research + Ownership
Payments
19
Total payment records
General Amount
$1,014
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $286 |
| Janssen Biotech, Inc. | $156 |
| GENZYME CORPORATION | $148 |
| E.R. Squibb & Sons, L.L.C. | $147 |
| Arcutis Biotherapeutics, Inc. | $122 |
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: 2025-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240628002243 | I | Dermatology | MI | TBD |
| I20250626002913 | I | Dermatology | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46250)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| Physician Assistant | MI | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MI | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI |
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