DR. NICHOLAS B COUNTRYMAN (M.D.) – Dermatology Physician, NPI 1538327309
Dermatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
247 DERMATOLOGY in IN
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Provider Addresses for DR. NICHOLAS B COUNTRYMAN (M.D.)
10507, Hyde Park, Carmel, Hamilton County, Indiana, 46032, United States
CARMEL, IN 460328300
Phone: (317) 853-6227
Type: Mailing
7910, North Shadeland Avenue, Castleton, Indianapolis, Indiana, 46250, United States
INDIANAPOLIS, IN 462502041
Phone: (317) 516-5000
Fax: (317) 516-5146
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $850.
Total Amount is formed as General ($850) + Research ($0) + Ownership ($0) = $850.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($242).
Total Amount
$850
General + Research + Ownership
Payments
23
Total payment records
General Amount
$850
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $242 |
| Dermavant Sciences, Inc. | $181 |
| Lilly USA, LLC | $160 |
| ABBVIE INC. | $139 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $66 |
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: 2011-07-08
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 |
|---|---|---|---|---|
| I20110708000531 | 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 |
|---|---|---|---|---|
| J3245 | Injection, tildrakizumab, 1 mg | 1,700 | 13 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 679 | 545 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 302 | 223 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 192 | 37 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 115 | 113 | $0 |
Insurance plans in this area (ZIP 46032)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | IN | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 186 | 182 |
| DERMATOLOGY | IN | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| D E R M A T O L O G Y | IN | |
| D E R M A T O L O G Y | IN | |
| Physician Assistant | IN | |
| D E R M A T O L O G Y | IN | |
| Physician Assistant | IN | |
| D E R M A T O L O G Y | IN | |
| Physician Assistant | IL | |
| Physician Assistant | IN | |
| D E R M A T O L O G Y | IN |
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