CARRIE LYNN DAVIS (M.D.) – Dermatology Physician, NPI 1801063128
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
247 DERMATOLOGY in IN
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Provider Addresses for CARRIE LYNN DAVIS (M.D.)
Dermatology Center of Southern Indiana, 1200, South Rogers Street, Broadview, Bloomington, Monroe County, Indiana, 47403, United States
BLOOMINGTON, IN 474034792
Phone: (812) 339-6434
Fax: (812) 331-0196
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 161 Open Payments records for all available years, with a total value of $3,142.
Total Amount is formed as General ($3,142) + Research ($0) + Ownership ($0) = $3,142.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($290).
Total Amount
$3,142
General + Research + Ownership
Payments
161
Total payment records
General Amount
$3,142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
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: 2008-10-21
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 |
|---|---|---|---|---|
| I20081021000636 | 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 | 2,718 | 499 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,333 | 1,023 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 903 | 665 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 415 | 298 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 367 | 328 | $0 |
Insurance plans in this area (ZIP 47403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | IN | 17003 | Destruction of 2-14 skin growths | 3910 | 550 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| D E R M A T O L O G Y | IN | |
| Nurse Practitioner | IN | |
| 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 | |
| D E R M A T O L O G Y | IN | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | IN | |
| Dermatology, Pathology | IN |
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