DR. KAY ELIZABETH WATNICK (MD) – Dermatology Physician, NPI 1639123680

DR. KAY ELIZABETH WATNICK (MD) is a healthcare provider. based in West bloomfield, Michigan. specializing in Dermatology Physician. They hold the professional credentials MD. They hold a License No. KW403896 (MI). The NPI Number for DR. KAY ELIZABETH WATNICK (MD) is 1639123680

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAY ELIZABETH WATNICK (MD)
NPI
1639123680
Phone
(248) 855-7500
Address
5839 W MAPLE RD STE 109
Enumeration Date
22 May 2006
Last Update Date
29 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
2365442217
Professional Enrollment ID
I20061228000177
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. KAY ELIZABETH WATNICK (MD)

  • 5839 W MAPLE RD STE 109

    WEST BLOOMFIELD, MI 483222278

    Phone: (248) 855-7500

    Fax: (248) 855-5627

    Type: Location

  • Beaumont, 6900, Orchard Lake Road, West Bloomfield Township, Oakland County, Michigan, 48334, United States

    STE 209

    WEST BLOOMFIELD, MI 483223405

    Phone: (248) 855-7500

    Fax: (248) 855-5627

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $526.

Total Amount is formed as General ($526) + Research ($0) + Ownership ($0) = $526.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: ABBVIE INC. ($115).

Total Amount

$526

General + Research + Ownership

Payments

22

Total payment records

General Amount

$526

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2006-12-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061228000177IDermatologyMITBD

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 growths39193$0
99213Established patient office or other outpatient visit, 20-29 minutes375334$0
17000Destruction of precancer skin growth, 1 growth138126$0
17110Destruction of skin growth, 1-14 growths9996$0
11102Biopsy of related skin growth, first growth7168$0
View full utilization report →

Insurance plans in this area (ZIP 48322)

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Provider's Procedures

DR. KAY ELIZABETH WATNICK (MD) performs procedures in Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMI11101Biopsy of each additional growth of skin and/or tissue7659
DERMATOLOGYMI88304Pathology examination of tissue using a microscope, moderately low complexity1414

Reviews

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Frequently asked questions

What is the registry number for DR. KAY ELIZABETH WATNICK (MD)?
The registry entry for DR. KAY ELIZABETH WATNICK (MD) shows NPI 1639123680.
Is DR. KAY ELIZABETH WATNICK (MD)'s NPI status active today?
Active status means DR. KAY ELIZABETH WATNICK (MD)'s NPI record is not deactivated in the public file.
How should patients interpret DR. KAY ELIZABETH WATNICK (MD)'s specialty?
The extract shows Dermatology Physician for DR. KAY ELIZABETH WATNICK (MD). Clinical services aligned with this taxonomy classification.
What city is tied to DR. KAY ELIZABETH WATNICK (MD)?
The directory associates DR. KAY ELIZABETH WATNICK (MD) with West Bloomfield, Michigan. Check all listed addresses for suites or satellite offices.
Can I export DR. KAY ELIZABETH WATNICK (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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