DR. KATHERINE NOLAN LU (MD) – Dermatology Physician, NPI 1720405087
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
247 DERMATOLOGY in IN
Provider Addresses for DR. KATHERINE NOLAN LU (MD)
1601 LAFAYETTE RD STE 100
CRAWFORDSVILLE, IN 479331032
Phone: (765) 362-1212
Fax: (765) 361-0210
Type: Location
2285 CORPORATE CIR
STE 200
HENDERSON, NV 890747759
Phone: (702) 360-2763
Fax: (949) 783-2880
Type: Mailing
30201 GOLDEN LANTERN STE B
LAGUNA NIGUEL, CA 926775926
Phone: (949) 363-1788
Fax: (949) 363-1607
Type: Location
4060 SHERIDAN ST STE C
HOLLYWOOD, FL 330213559
Phone: (954) 987-7512
Fax: (949) 783-2880
Type: Mailing
PO BOX 734240
CHICAGO, IL 606734240
Phone: (765) 362-1212
Fax: (765) 361-0210
Type: Mailing
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 $575.
Total Amount is formed as General ($575) + Research ($0) + Ownership ($0) = $575.
Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($254).
Total Amount
$575
General + Research + Ownership
Payments
19
Total payment records
General Amount
$575
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-11-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20180709002060 | I | Dermatology | CA | TBD |
| I20200610002478 | I | Dermatology | OH | TBD |
| I20210211000602 | I | Dermatology | FL | TBD |
| I20230424000992 | I | Dermatology | NC | TBD |
| I20251124003350 | 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 | 690 | 131 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 167 | 142 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 131 | 110 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 72 | 72 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 68 | 66 | $0 |
Insurance plans in this area (ZIP 47933)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| D E R M A T O L O G Y | TX | |
| Dermatology, Dermatology, Pathology | VA | |
| Physician Assistant | MN | |
| Nurse Practitioner | MI | |
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | MN | |
| Physician Assistant | IN | |
| - | IN | |
| Physician Assistant | IL |
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