BETH L BROGAN (MD) – Dermatology Physician, NPI 1700892809

BETH L BROGAN (MD) is a healthcare provider. based in Carmel, Indiana. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 01059082A (IN). The NPI Number for BETH L BROGAN (MD) is 1700892809

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
BETH L BROGAN (MD)
NPI
1700892809
Phone
(317) 415-5860
Address
13450 N Meridian St Ste 363
Enumeration Date
31 July 2006
Last Update Date
19 July 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3176604900
Graduation Year
1999 (27 years ago)
PAC ID
9133188436
Group Practice PAC ID
5193906899
Professional Enrollment ID
I20041004000313
Address ID
IN462602385IN8925XSTXX401

Contacts

Secure Messaging
beth.brogan.1@7598.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

247 DERMATOLOGY in IN

Provider Addresses for BETH L BROGAN (MD)

  • 13450 N Meridian St Ste 363

    Carmel, IN 460327120

    Phone: (317) 415-5860

    Type: Location

  • 8925 N MERIDIAN ST

    INDIANAPOLIS, IN 462602386

    Phone: (317) 660-4900

    Type: Mailing

  • 13450 N MERIDIAN ST STE 363

    CARMEL, IN 460327120

    Phone:

    Type: Mailing

  • 8840, Commerce Park Place, Indianapolis, Indiana, 46268, United States

    INDIANAPOLIS, IN 462683129

    Phone:

    Type: Mailing

  • North Meridian Street, Spring Mill Woods, Indianapolis, Indiana, 46074:46260, United States

    STE 250

    INDIANAPOLIS, IN 462601876

    Phone: (317) 574-2500

    Fax: (317) 574-2505

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,151.

Total Amount is formed as General ($1,151) + Research ($0) + Ownership ($0) = $1,151.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($296).

Total Amount

$1,151

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,151

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

View all Open Payments →|Open Payments Risk Radar →

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: 2004-10-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041004000313IDermatologyINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes386349$0
17003Destruction of precancer skin growth, 2-14 growths343108$0
17000Destruction of precancer skin growth, 1 growth211181$0
99214Established patient office or other outpatient visit, 30-39 minutes152135$0
11102Biopsy of related skin growth, first growth113104$0
View full utilization report →

Insurance plans in this area (ZIP 46032)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193906899View full group profile
NameSpecialtyState
Physician AssistantIN
D E R M A T O L O G YIN
Physician AssistantIN
Physician AssistantOH
Dermatology, NeurologyIN

Reviews

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Frequently asked questions

Can I verify BETH L BROGAN (MD) with an NPI only?
You can start verification with NPI 1700892809 for BETH L BROGAN (MD), then check state licensing separately.
Can I rely on BETH L BROGAN (MD) being an active provider?
As of the registry snapshot, BETH L BROGAN (MD) is marked active.
What is BETH L BROGAN (MD)'s specialty?
The listing groups BETH L BROGAN (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for BETH L BROGAN (MD)?
BETH L BROGAN (MD)'s geographic hint is Carmel, Indiana in our summary view.
Why does BETH L BROGAN (MD) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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