DR. WYATT ANDRASIK (MD) – Dermatology Physician, NPI 1033671953

DR. WYATT ANDRASIK (MD) is a healthcare provider. based in Cleveland, Ohio. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 35.148807 (OH). The NPI Number for DR. WYATT ANDRASIK (MD) is 1033671953

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. WYATT ANDRASIK (MD)
NPI
1033671953
Phone
(216) 444-2200
Address
9500 EUCLID AVE # NA-23
Enumeration Date
1 April 2019
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
3307250569
Graduation Year
2019 (7 years ago)
PAC ID
3678806965
Group Practice PAC ID
6709787989
Professional Enrollment ID
I20230822000744
Address ID
OH442568816ME5783XPIKE300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

607 DERMATOLOGY in OH

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Provider Addresses for DR. WYATT ANDRASIK (MD)

  • Euclid Avenue, Midtown, Asiatown, Cleveland, Cuyahoga County, Ohio, 44103, United States

    CLEVELAND, OH 441950001

    Phone: (216) 444-2200

    Fax: (216) 636-5830

    Type: Location

  • 5783 WOOSTER PIKE

    MEDINA, OH 442568816

    Phone: (330) 725-0569

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 223 Open Payments records for all available years, with a total value of $5,326.

Total Amount is formed as General ($5,326) + Research ($0) + Ownership ($0) = $5,326.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($897).

Total Amount

$5,326

General + Research + Ownership

Payments

223

Total payment records

General Amount

$5,326

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-08-22

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
I20230822000744IDermatologyOHTBD

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 growths11730$0
99214Established patient office or other outpatient visit, 30-39 minutes6253$0
99213Established patient office or other outpatient visit, 20-29 minutes5855$0
17000Destruction of precancer skin growth, 1 growth3735$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 44195)

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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: 6709787989View full group profile
NameSpecialtyState
Physician AssistantOH
Physician AssistantOH
Orthopedic SurgeryOH
D E R M A T O L O G YOH
-OH
Physician AssistantOH
D E R M A T O L O G YOH
Physician AssistantOH
Physician AssistantOH
Physician AssistantOH

Reviews

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Frequently asked questions

How is DR. WYATT ANDRASIK (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. WYATT ANDRASIK (MD) with NPI 1033671953.
Can I rely on DR. WYATT ANDRASIK (MD) being an active provider?
As of the registry snapshot, DR. WYATT ANDRASIK (MD) is marked active.
What is DR. WYATT ANDRASIK (MD) best known for clinically?
Directory data describes DR. WYATT ANDRASIK (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. WYATT ANDRASIK (MD) serve?
DR. WYATT ANDRASIK (MD)'s listing highlights Cleveland, Ohio; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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