DR. LYDIA CARPENTER (MD) – Dermatology Physician, NPI 1972594893
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for DR. LYDIA CARPENTER (MD)
3025 GOVERNORS PLACE BLVD
DAYTON, OH 454091330
Phone: (937) 293-5567
Fax: (937) 293-5568
Type: Mailing
307 Boatner Rd
Suite 114
Eglin AFB, FL 325421302
Phone: (850) 883-8257
Fax: (850) 883-9052
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $325.
Total Amount is formed as General ($325) + Research ($0) + Ownership ($0) = $325.
Last reported payment date: 2024-07-13 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($165).
Total Amount
$325
General + Research + Ownership
Payments
6
Total payment records
General Amount
$325
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $165 |
| UCB, Inc. | $93 |
| Incyte Corporation | $52 |
| Dermavant Sciences, Inc. | $14 |
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: 2020-04-10
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 |
|---|---|---|---|---|
| I20200410000356 | I | Dermatology | CA | 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 | 475 | 59 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 162 | 82 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 118 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 98 | 79 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 69 | 54 | $0 |
Insurance plans in this area (ZIP 45409)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Dermatology, Pathology | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | CA | |
| P A T H O L O G Y | CA |
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