DALE ARCHER (PAC) – Dermatology Physician, NPI 1588688063
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Loading map...
Provider Addresses for DALE ARCHER (PAC)
2410, North Commerce Street, Ardmore, Carter County, Oklahoma, 73401, United States
ARDMORE, OK 73401
Phone: (580) 226-0812
Fax: (580) 226-0820
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 63 Open Payments records for all available years, with a total value of $1,123.
Total Amount is formed as General ($1,123) + Research ($0) + Ownership ($0) = $1,123.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($403).
Total Amount
$1,123
General + Research + Ownership
Payments
63
Total payment records
General Amount
$1,123
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 |
|---|---|
| Novartis Pharmaceuticals Corporation | $403 |
| E.R. Squibb & Sons, L.L.C. | $192 |
| Lilly USA, LLC | $94 |
| Krystal Biotech Inc | $57 |
| Janssen Biotech, Inc. | $55 |
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: 2010-02-18
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 |
|---|---|---|---|---|
| I20100218000040 | I | Physician Assistant | 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 | 5,163 | 932 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,498 | 1,178 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 965 | 848 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 611 | 533 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 390 | 354 | $0 |
Insurance plans in this area (ZIP 73401)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| D E R M A T O L O G Y | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| - | NY | |
| General Surgery | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.