MS. DYLAN ROSE WATERMAN (M.D.) – Dermatology Physician, NPI 1548689516

MS. DYLAN ROSE WATERMAN (M.D.) is a healthcare provider. based in Burlington, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 274027 (MA). The NPI Number for MS. DYLAN ROSE WATERMAN (M.D.) is 1548689516

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MS. DYLAN ROSE WATERMAN (M.D.)
NPI
1548689516
Phone
(781) 744-5115
Address
LAHEY HOSPITAL & MEDICAL CENTER
Enumeration Date
7 April 2014
Last Update Date
8 August 2018

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9789270714
Graduation Year
2014 (12 years ago)
PAC ID
3072828102
Group Practice PAC ID
7719291434
Professional Enrollment ID
I20180711003942
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

744 DERMATOLOGY in MA

Provider Addresses for MS. DYLAN ROSE WATERMAN (M.D.)

  • LAHEY HOSPITAL & MEDICAL CENTER

    67 S. BEDFORD STREET

    BURLINGTON, MA 018055108

    Phone: (781) 744-5115

    Fax: (781) 744-5687

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-07-11

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
I20180711003942IDermatologyMATBD

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 growths23353$0
99213Established patient office or other outpatient visit, 20-29 minutes142119$0
17000Destruction of precancer skin growth, 1 growth9079$0
17110Destruction of skin growth, 1-14 growths7970$0
99203New patient office or other outpatient visit, 30-44 minutes6363$0
View full utilization report →

Insurance plans in this area (ZIP 01805)

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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: 7719291434View full group profile
NameSpecialtyState
Family PracticeMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Internal MedicineNH
Nurse PractitionerMA
Family PracticeMA
Family PracticeMA
Physician AssistantMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What NPI should I save for MS. DYLAN ROSE WATERMAN (M.D.)?
Save NPI 1548689516 if you need a stable reference for MS. DYLAN ROSE WATERMAN (M.D.).
Is MS. DYLAN ROSE WATERMAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MS. DYLAN ROSE WATERMAN (M.D.)?
The page reflects Dermatology Physician for MS. DYLAN ROSE WATERMAN (M.D.). Clinical services aligned with this taxonomy classification.
Where is MS. DYLAN ROSE WATERMAN (M.D.)'s primary listing?
We display Burlington, Massachusetts because that is what the record indicates for MS. DYLAN ROSE WATERMAN (M.D.).
What if Burlington, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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