DR. DANIEL EVAN VIDERS (MD) – Dermatology Physician, NPI 1558354407
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
Provider Addresses for DR. DANIEL EVAN VIDERS (MD)
207 SOUTHBRIDGE ST
AUBURN, MA 015012548
Phone: (508) 832-7118
Fax: (508) 832-7166
Type: Mailing
Wake Robin Road, Lincoln, Providence County, Rhode Island, 02802, United States
LINCOLN, RI 028654208
Phone: (401) 475-9140
Fax: (401) 475-2808
Type: Mailing
207 Southbridge St
Auburn, MA 015012548
Phone: (508) 832-7118
Fax: (508) 832-4758
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 100 Open Payments records for all available years, with a total value of $2,548.
Total Amount is formed as General ($2,548) + Research ($0) + Ownership ($0) = $2,548.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($702).
Total Amount
$2,548
General + Research + Ownership
Payments
100
Total payment records
General Amount
$2,548
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $702 |
| Janssen Biotech, Inc. | $290 |
| Amgen Inc. | $236 |
| Dermavant Sciences, Inc. | $220 |
| Novartis Pharmaceuticals Corporation | $171 |
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: 2005-01-27
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 |
|---|---|---|---|---|
| I20050127000744 | I | Dermatology | MA | 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 | 378 | 89 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 285 | 242 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 147 | 121 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 111 | 104 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 65 | 60 | $0 |
Insurance plans in this area (ZIP 01501)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Physician Assistant | MA |
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