ERIC WYATT (MD) – Procedural Dermatology Physician, NPI 1417007139
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
126 DERMATOLOGY in OK
Provider Addresses for ERIC WYATT (MD)
3400 NW Expressway St
Suite 440
Oklahoma City, OK 731124493
Phone: (405) 945-4250
Type: Location
104, Northwest 31st Street, Lawton, Comanche County, Oklahoma, 73505, United States
LAWTON, OK 735056100
Phone: (580) 536-2121
Fax: (580) 250-5183
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $830.
Total Amount is formed as General ($830) + Research ($0) + Ownership ($0) = $830.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($121).
Total Amount
$830
General + Research + Ownership
Payments
39
Total payment records
General Amount
$830
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
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: 2004-03-03
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 |
|---|---|---|---|---|
| I20040303000697 | I | Dermatology | OK | 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 | 1,352 | 284 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 403 | 365 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 266 | 250 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 244 | 236 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 180 | 176 | $0 |
Insurance plans in this area (ZIP 73112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Radiation Oncology, Nuclear Medicine | OK | |
| - | OK | |
| Certified Clinical Nurse Specialist (Cns) | OK | |
| H E M A T O L O G Y/ O N C O L O G Y | AR | |
| H E M A T O L O G Y/ O N C O L O G Y | OK | |
| H E M A T O L O G Y/ O N C O L O G Y | MN | |
| - | AZ | |
| - | OK | |
| Medical Oncology | SD |
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