DR. HAILEY KRISTINE OLDS (MD) – Dermatology Physician, NPI 1215516620
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DERMATOLOGY in MI
Provider Addresses for DR. HAILEY KRISTINE OLDS (MD)
18100 Oakwood Blvd Ste 300
Dearborn, MI 481244085
Phone: (313) 240-4900
Type: Location
13450 E 12 Mile Rd
Warren, MI 480883671
Phone: (586) 759-5525
Fax: (586) 759-4022
Type: Location
16826 Newburgh Rd
Livonia, MI 481541600
Phone: (734) 464-8400
Fax: (734) 464-9515
Type: Location
151 SOUTHHALL LN STE 300
MAITLAND, FL 327517172
Phone:
Type: Mailing
1500 EUREKA RD
WYANDOTTE, MI 481926103
Phone: (734) 282-2500
Fax: (734) 282-6397
Type: Location
18100 OAKWOOD BLVD STE 300
DEARBORN, MI 481244085
Phone: (313) 240-4900
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $2,561.
Total Amount is formed as General ($2,561) + Research ($0) + Ownership ($0) = $2,561.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Janssen Biotech, Inc. ($630).
Total Amount
$2,561
General + Research + Ownership
Payments
43
Total payment records
General Amount
$2,561
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $630 |
| Dermavant Sciences, Inc. | $357 |
| GENZYME CORPORATION | $336 |
| UCB, Inc. | $182 |
| ABBVIE INC. | $163 |
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: 2025-06-17
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 |
|---|---|---|---|---|
| I20250617001687 | I | Dermatology | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | MI | |
| Emergency Medicine | MI | |
| Physician Assistant | IN |
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