CORY PETTIT – Dermatology Physician, NPI 1093277840
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for CORY PETTIT
430 ALTAIR PKWY STE 210
WESTERVILLE, OH 430827647
Phone: (614) 898-7546
Type: Location
THE OHIO STATE UNIVERSTY WEXNER MEDICAL CENTER
395 W 12TH AVE, 3RD FLOOR
COLUMBUS, OH 43210
Phone: (614) 293-3989
Fax: (614) 293-9789
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 127 Open Payments records for all available years, with a total value of $2,474.
Total Amount is formed as General ($2,474) + Research ($0) + Ownership ($0) = $2,474.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($863).
Total Amount
$2,474
General + Research + Ownership
Payments
127
Total payment records
General Amount
$2,474
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. | $863 |
| E.R. Squibb & Sons, L.L.C. | $410 |
| Incyte Corporation | $294 |
| PFIZER INC. | $181 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $136 |
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: 2023-06-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230628000508 | I | Dermatology | OH | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 121 | 47 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 56 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 48 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 47 | 37 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 35 | 29 | $0 |
Insurance plans in this area (ZIP 43082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | OH | |
| - | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | MD | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | CA |
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