ROBERT PATRICK DAZE (DO) – Dermatology Physician, NPI 1326535741
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
247 DERMATOLOGY in IN
Provider Addresses for ROBERT PATRICK DAZE (DO)
17471 Wheeler Rd Ste 114
Westfield, IN 460746903
Phone: (317) 912-1377
Fax: (317) 489-5830
Type: Location
330 N Wabash Ave Ste 360
Marion, IN 469522678
Phone: (765) 664-3292
Fax: (765) 662-7560
Type: Location
4020 New Vision Dr
Fort Wayne, IN 468451737
Phone: (260) 423-2567
Fax: (260) 420-2415
Type: Location
18051 River Rd Ste 105
Noblesville, IN 460627093
Phone: (317) 779-3956
Fax: (317) 779-3978
Type: Location
70 W 94th Pl
Crown Point, IN 463071710
Phone: (219) 662-8822
Fax: (219) 662-8833
Type: Location
7516 Eagle Crest Blvd Ste D
Evansville, IN 477159142
Phone: (812) 401-8999
Fax: (812) 401-8333
Type: Location
201, 14th Street Southwest, Largo, Pinellas County, Florida, 33770, United States
LARGO, FL 337703199
Phone: (727) 588-5220
Type: Mailing
755 W CARMEL DR STE 101
CARMEL, IN 460325875
Phone: (317) 846-2396
Fax: (317) 846-1699
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 276 Open Payments records for all available years, with a total value of $5,349.
Total Amount is formed as General ($5,349) + Research ($0) + Ownership ($0) = $5,349.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($1,149).
Total Amount
$5,349
General + Research + Ownership
Payments
276
Total payment records
General Amount
$5,349
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,149 |
| Janssen Biotech, Inc. | $705 |
| PFIZER INC. | $496 |
| Sun Pharmaceutical Industries Inc. | $287 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $238 |
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: 2022-08-02
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 |
|---|---|---|---|---|
| I20220802000404 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 427 | 69 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 143 | 126 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 141 | 125 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 135 | 117 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 127 | 94 | $0 |
Insurance plans in this area (ZIP 46074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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