LAKIN DIETEL (PA-C) – Medical Physician Assistant, NPI 1336658780
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
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Provider Addresses for LAKIN DIETEL (PA-C)
450 E WALNUT ST APT 202
INDIANAPOLIS, IN 462023333
Phone: (317) 605-3842
Type: Mailing
8925 N MERIDIAN ST STE 200
INDIANAPOLIS, IN 462602385
Phone: (317) 605-3842
Fax: (317) 660-4901
Type: Mailing
North Meridian Street, Spring Mill Woods, Indianapolis, Indiana, 46074:46260, United States
INDIANAPOLIS, IN 462602385
Phone: (317) 660-4900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 80 Open Payments records for all available years, with a total value of $1,570.
Total Amount is formed as General ($1,570) + Research ($0) + Ownership ($0) = $1,570.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Amgen Inc. ($240).
Total Amount
$1,570
General + Research + Ownership
Payments
80
Total payment records
General Amount
$1,570
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $240 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $177 |
| Incyte Corporation | $168 |
| Sun Pharmaceutical Industries Inc. | $155 |
| ABBVIE INC. | $132 |
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: 2017-11-27
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 |
|---|---|---|---|---|
| I20171127003325 | I | Physician Assistant | 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 | 1,277 | 270 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 534 | 457 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 473 | 370 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 292 | 253 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 221 | 188 | $0 |
Insurance plans in this area (ZIP 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| D E R M A T O L O G Y | IN | |
| Physician Assistant | OH | |
| D E R M A T O L O G Y | IN | |
| Dermatology, Neurology | IN |
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