DR. MARK A WALDMAN (MD) – Dermatology Physician, NPI 1811990096
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
166 DERMATOLOGY in KY
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Provider Addresses for DR. MARK A WALDMAN (MD)
310, East Broadway, Louisville, Jefferson County, Kentucky, 40202, United States of America
STE 200
LOUISVILLE, KY 402021745
Phone: (502) 585-5249
Fax: (502) 585-5251
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 115 Open Payments records for all available years, with a total value of $2,211.
Total Amount is formed as General ($2,211) + Research ($0) + Ownership ($0) = $2,211.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($544).
Total Amount
$2,211
General + Research + Ownership
Payments
115
Total payment records
General Amount
$2,211
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $544 |
| E.R. Squibb & Sons, L.L.C. | $219 |
| Merz North America, Inc. | $207 |
| Novartis Pharmaceuticals Corporation | $150 |
| Janssen Biotech, Inc. | $99 |
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: 2010-12-28
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 |
|---|---|---|---|---|
| I20101228000723 | I | Dermatology | KY | 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 | 1,179 | 197 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 742 | 566 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 415 | 282 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 321 | 245 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 264 | 222 | $0 |
Insurance plans in this area (ZIP 40202)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | KY | 11101 | Biopsy of each additional growth of skin and/or tissue | 85 | 61 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| P A T H O L O G Y | KY | |
| D E R M A T O L O G Y | KY |
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