DR. KARL K II KELLAWAN (M.D.) – Dermatology Physician, NPI 1356359517
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for DR. KARL K II KELLAWAN (M.D.)
1149 Stone Dr Ste 100
Harrison, OH 450301676
Phone: (513) 845-8120
Fax: (513) 845-8121
Type: Location
220 E SPRING VALLEY PIKE
CENTERVILLE, OH 454582653
Phone: (937) 438-3376
Fax: (937) 438-9424
Type: Location
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
400, North Main Street, Uptown, Centerville, Butte, Silver Bow County, Montana, 59701, United States
SUITE D
CENTERVILLE, OH 454594489
Phone: (937) 438-3376
Fax: (937) 438-9424
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 504 Open Payments records for all available years, with a total value of $8,046.
Total Amount is formed as General ($8,046) + Research ($0) + Ownership ($0) = $8,046.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,424).
Total Amount
$8,046
General + Research + Ownership
Payments
504
Total payment records
General Amount
$8,046
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,424 |
| Dermavant Sciences, Inc. | $861 |
| GENZYME CORPORATION | $603 |
| Janssen Biotech, Inc. | $429 |
| Regeneron Healthcare Solutions, Inc. | $347 |
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: 2010-10-14
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 |
|---|---|---|---|---|
| I20101014000065 | 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 | 2,173 | 415 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,585 | 1,136 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 765 | 593 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 318 | 262 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 265 | 240 | $0 |
Insurance plans in this area (ZIP 45030)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | OH | 11101 | Biopsy of each additional growth of skin and/or tissue | 99 | 60 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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