JACLYN WETLI (MD) – Dermatology Physician, NPI 1306378948
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
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Provider Addresses for JACLYN WETLI (MD)
Kettering Medical Center, 3535, Southern Boulevard, Kettering, Montgomery County, Ohio, 45429, United States
KETTERING, OH 454291221
Phone: (937) 384-6800
Fax: (937) 384-6938
Type: Mailing
5005 ARLINGTON CENTRE BLVD
UPPER ARLINGTON, OH 432202912
Phone: (614) 246-6900
Fax: (614) 246-6909
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $584.
Total Amount is formed as General ($584) + Research ($0) + Ownership ($0) = $584.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: ABBVIE INC. ($305).
Total Amount
$584
General + Research + Ownership
Payments
37
Total payment records
General Amount
$584
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-09-08
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 |
|---|---|---|---|---|
| I20210908002639 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 201 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 61 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 59 | 42 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 50 | 43 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 41 | 26 | $0 |
Insurance plans in this area (ZIP 45429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | OH | |
| Plastic And Reconstructive Surgery | OH | |
| Plastic And Reconstructive Surgery | OH | |
| Plastic And Reconstructive Surgery | OH | |
| Plastic And Reconstructive Surgery | OH | |
| Plastic And Reconstructive Surgery | OH | |
| - | OH |
Reviews
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