DR. KYLE M VAN DE GRAAFF (M.D.) – Dermatology Physician, NPI 1770577025

DR. KYLE M VAN DE GRAAFF (M.D.) is a healthcare provider. based in Corvallis, Oregon. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. MD152734 (OR). The NPI Number for DR. KYLE M VAN DE GRAAFF (M.D.) is 1770577025

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE M VAN DE GRAAFF (M.D.)
NPI
1770577025
Phone
(541) 754-1252
Address
444 NW ELKS DR
Enumeration Date
1 September 2005
Last Update Date
31 August 2010

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
5417541282
Graduation Year
1997 (29 years ago)
PAC ID
6204927684
Group Practice PAC ID
1456244540
Professional Enrollment ID
I20101118000499
Address ID
OR973303737CO3680XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

232 DERMATOLOGY in OR

Loading map...

Provider Addresses for DR. KYLE M VAN DE GRAAFF (M.D.)

  • 444, Northwest Elks Drive, Corvallis, Benton County, Oregon, 97330, United States

    CORVALLIS, OR 973303745

    Phone: (541) 754-1252

    Fax: (541) 754-2772

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-11-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101118000499IDermatologyORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths896205$0
99213Established patient office or other outpatient visit, 20-29 minutes477413$0
17000Destruction of precancer skin growth, 1 growth341313$0
99214Established patient office or other outpatient visit, 30-39 minutes187173$0
99212Established patient office or other outpatient visit, 10-19 minutes116109$0
View full utilization report →

Insurance plans in this area (ZIP 97330)

Loading plans...

Provider's Procedures

DR. KYLE M VAN DE GRAAFF (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYOR11101Biopsy of each additional growth of skin and/or tissue3224
DERMATOLOGYOR13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet3130
DERMATOLOGYOR17003Destruction of 2-14 skin growths1501238

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456244540View full group profile

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.

Frequently asked questions

Can I use this page to confirm DR. KYLE M VAN DE GRAAFF (M.D.)'s NPI?
Yes. DR. KYLE M VAN DE GRAAFF (M.D.) is listed with NPI 1770577025 in the public NPI dataset.
Is DR. KYLE M VAN DE GRAAFF (M.D.) listed as active for patients and plans?
The listing shows DR. KYLE M VAN DE GRAAFF (M.D.) as active in the NPI system.
What is DR. KYLE M VAN DE GRAAFF (M.D.)'s primary classification?
Dermatology Physician is the headline specialty for DR. KYLE M VAN DE GRAAFF (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KYLE M VAN DE GRAAFF (M.D.)?
DR. KYLE M VAN DE GRAAFF (M.D.)'s geographic hint is Corvallis, Oregon in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

TODD KNAPP (MD)

MOHS-Micrographic Surgery Physician
1793 13th St SE
NPI: 1184602609

DR. ADRIANA M. BRUNE (MD)

Dermatology Physician
1740, Northwest 9th Street, Corvallis, Benton County, Oregon, 97330, United States
NPI: 1699743062

WALLACE H KNAPP (M.D.)

Dermatology Physician
444, Northwest Elks Drive, Corvallis, Benton County, Oregon, 97330, United States
NPI: 1972553220

DR. PATRICIA M. O'HARE (M.D.)

Dermatology Physician
1200, Queen Avenue Southeast, Albany, Linn County, Oregon, 97322, United States
NPI: 1821030693

ABIGAIL LEE HABERMAN (MD)

Dermatology Physician
690 NW CALLOWAY DR
NPI: 1255401063

Unknown Individual

Dermatology Physician
444, Northwest Elks Drive, Corvallis, Benton County, Oregon, 97330, United States
NPI: 1174698591

CARRICK BURNS

Dermatology Physician
2430 NW PROFESSIONAL DR
NPI: 1578791901

BRUNE DERMATOLOGY, LLC

Dermatology Physician
1200 Queen Ave SE
NPI: 1093037210

ABIGAIL LEE HABERMAN

Dermatology Physician
690 NW CALLOWAY DR
NPI: 1871806950