DR. NATALIE ELIZABETH KUDLAK (D.O.) – Dermatology Physician, NPI 1437512712
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
232 DERMATOLOGY in OR
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Provider Addresses for DR. NATALIE ELIZABETH KUDLAK (D.O.)
PO BOX 1648
EUGENE, OR 974401648
Phone: (541) 687-4900
Type: Mailing
Harlow Road, Springfield, Lane County, Oregon, 97475, United States
SPRINGFIELD, OR 974777127
Phone: (541) 242-4300
Type: Location
12911 120TH AVE NE STE G100
KIRKLAND, WA 980343027
Phone: (425) 899-4144
Fax: (425) 880-5823
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 117 Open Payments records for all available years, with a total value of $2,844.
Total Amount is formed as General ($2,844) + Research ($0) + Ownership ($0) = $2,844.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($603).
Total Amount
$2,844
General + Research + Ownership
Payments
117
Total payment records
General Amount
$2,844
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $603 |
| Incyte Corporation | $390 |
| Janssen Biotech, Inc. | $373 |
| GENZYME CORPORATION | $247 |
| Lilly USA, LLC | $139 |
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: 2022-09-14
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 |
|---|---|---|---|---|
| I20220914001893 | I | Dermatology | WA | 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 | 153 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 47 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 49 | 36 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 21 | 18 | $0 |
Insurance plans in this area (ZIP 97440)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| D E R M A T O L O G Y | WA | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA |
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