ERIKA KETTELHUT (DO) – Dermatology Physician, NPI 1679012868
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for ERIKA KETTELHUT (DO)
5298 SOCIALVILLE FOSTER RD
MASON, OH 450409302
Phone: (513) 770-4212
Fax: (513) 770-4213
Type: Mailing
4000 SMITH RD STE 210
CINCINNATI, OH 452091967
Phone: (513) 770-4212
Fax: (513) 770-4213
Type: Location
6730 N WEST AVE
FRESNO, CA 937114301
Phone: (559) 439-3000
Fax: (559) 439-3004
Type: Location
Beaumont Hospital - Trenton, 5450, Fort Street, Trenton, Wayne County, Michigan, 49224, United States
TRENTON, MI 481834601
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 285 Open Payments records for all available years, with a total value of $5,320.
Total Amount is formed as General ($5,320) + Research ($0) + Ownership ($0) = $5,320.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,425).
Total Amount
$5,320
General + Research + Ownership
Payments
285
Total payment records
General Amount
$5,320
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,425 |
| Regeneron Healthcare Solutions, Inc. | $575 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $501 |
| Janssen Biotech, Inc. | $349 |
| Sun Pharmaceutical Industries Inc. | $270 |
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: 2021-06-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210625002531 | I | Dermatology | KY | TBD |
| I20210628003031 | 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 | 425 | 75 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 168 | 127 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 123 | 89 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 93 | 73 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 85 | 85 | $0 |
Insurance plans in this area (ZIP 45040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TN | |
| D E R M A T O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| - | IN |
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