CLAUDIA IRENE VIDAL (MD) – Dermatopathology (Pathology) Physician, NPI 1790944742

CLAUDIA IRENE VIDAL (MD) is a healthcare provider. based in Bloomington, Indiana. specializing in DERMATOLOGY, PATHOLOGY. They hold the professional credentials MD. They hold a License No. 01081633A (IN). The NPI Number for CLAUDIA IRENE VIDAL (MD) is 1790944742

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
CLAUDIA IRENE VIDAL (MD)
NPI
1790944742
Phone
(812) 339-6434
Address
1200 S ROGERS ST
Enumeration Date
5 June 2008
Last Update Date
11 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
8123396434
Graduation Year
2004 (22 years ago)
PAC ID
0042363608
Group Practice PAC ID
9537190095
Professional Enrollment ID
I20190320001832
Address ID
IN474034792BL1200XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

247 DERMATOLOGY in IN

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Provider Addresses for CLAUDIA IRENE VIDAL (MD)

  • Dermatology Center of Southern Indiana, 1200, South Rogers Street, Broadview, Bloomington, Monroe County, Indiana, 47403, United States

    BLOOMINGTON, IN 474034792

    Phone: (812) 339-6434

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $1,785.

Total Amount is formed as General ($1,785) + Research ($0) + Ownership ($0) = $1,785.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($277).

Total Amount

$1,785

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,785

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: 2019-03-20

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
I20190320001832IDermatologyINTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity5,0722,776$0
88341Special stained specimen slides to examine tissue, each additional procedure613229$0
88342Special stained specimen slides to examine tissue, initial procedure518387$0
88312Special stained specimen slides to identify organisms including interpretation and report201124$0
88304Pathology examination of tissue using a microscope, moderately low complexity171149$0
View full utilization report →

Insurance plans in this area (ZIP 47403)

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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: 9537190095View full group profile
NameSpecialtyState
Nurse PractitionerIN
D E R M A T O L O G YIN
Nurse PractitionerIN
Physician AssistantIN
D E R M A T O L O G YIN
D E R M A T O L O G YIN
D E R M A T O L O G YIN
D E R M A T O L O G YMO
D E R M A T O L O G YIN
D E R M A T O L O G YIN

Reviews

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Frequently asked questions

Is there an official ID for CLAUDIA IRENE VIDAL (MD) in U.S. healthcare records?
The official identifier for CLAUDIA IRENE VIDAL (MD) is NPI 1790944742.
Is CLAUDIA IRENE VIDAL (MD) still an active registrant?
CLAUDIA IRENE VIDAL (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for CLAUDIA IRENE VIDAL (MD)?
At a glance, CLAUDIA IRENE VIDAL (MD) is tied to Dermatopathology (Pathology) Physician. Clinical services aligned with this taxonomy classification.
Is CLAUDIA IRENE VIDAL (MD) associated with Bloomington?
Public fields place CLAUDIA IRENE VIDAL (MD) around Bloomington, Indiana. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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