DR. TANDY SUTTON REPASS (MD) – Dermatology Physician, NPI 1043444219

DR. TANDY SUTTON REPASS (MD) is a healthcare provider. based in Lexington, Kentucky. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. ME107728 (FL). The NPI Number for DR. TANDY SUTTON REPASS (MD) is 1043444219

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. TANDY SUTTON REPASS (MD)
NPI
1043444219
Phone
(859) 296-4400
Address
3475 RICHMOND RD STE 200
Enumeration Date
4 May 2009
Last Update Date
20 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8592964400
Graduation Year
2009 (17 years ago)
PAC ID
0547432106
Group Practice PAC ID
7113813932
Professional Enrollment ID
I20130918000444
Address ID
KY405092500LE3475XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

166 DERMATOLOGY in KY

Provider Addresses for DR. TANDY SUTTON REPASS (MD)

  • 3475 RICHMOND RD STE 200

    LEXINGTON, KY 405092500

    Phone: (859) 296-4400

    Type: Location

  • 250, Fountain Court, Lexington, Fayette County, Kentucky, 40509, United States

    LEXINGTON, KY 405091888

    Phone: (859) 263-4444

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 221 Open Payments records for all available years, with a total value of $4,324.

Total Amount is formed as General ($4,324) + Research ($0) + Ownership ($0) = $4,324.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($978).

Total Amount

$4,324

General + Research + Ownership

Payments

221

Total payment records

General Amount

$4,324

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2013-09-18

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
I20130918000444IDermatologyKYTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,124162$0
99213Established patient office or other outpatient visit, 20-29 minutes351249$0
17000Destruction of precancer skin growth, 1 growth266200$0
11102Biopsy of related skin growth, first growth243192$0
11103Biopsy of related skin growth, each additional growth14285$0
View full utilization report →

Insurance plans in this area (ZIP 40509)

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Provider's Procedures

DR. TANDY SUTTON REPASS (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYKY11101Biopsy of each additional growth of skin and/or tissue13490

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: 7113813932View full group profile
NameSpecialtyState
D E R M A T O L O G YKY
D E R M A T O L O G YKY
Physician AssistantKY
Nurse PractitionerKY
-KY
-KY
Nurse PractitionerKY
Physician AssistantKY

Reviews

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Frequently asked questions

How do payers reference DR. TANDY SUTTON REPASS (MD)?
For DR. TANDY SUTTON REPASS (MD), use NPI 1043444219 as the unique 10-digit identifier.
Would DR. TANDY SUTTON REPASS (MD) appear as active to a payer?
You can treat DR. TANDY SUTTON REPASS (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. TANDY SUTTON REPASS (MD)?
DR. TANDY SUTTON REPASS (MD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. TANDY SUTTON REPASS (MD)?
Travel planning: use Lexington, Kentucky as the reference point for DR. TANDY SUTTON REPASS (MD), then confirm.
When was this NPI issued?
Enumeration for DR. TANDY SUTTON REPASS (MD) is noted as May 4, 2009 where the registry provides it.

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