HAYLEY DIETRICH (PA-C) – Medical Physician Assistant, NPI 1083256713
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,738 PHYSICIAN ASSISTANT in PA
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Provider Addresses for HAYLEY DIETRICH (PA-C)
277 W LINCOLN HWY UNIT 405
EXTON, PA 193412658
Phone: (610) 451-1634
Type: Mailing
Crooked Oak Drive, Homeland, Grandview Heights, Lancaster County, Pennsylvania, 17601, United States
LANCASTER, PA 176014278
Phone: (717) 569-3279
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 98 Open Payments records for all available years, with a total value of $1,982.
Total Amount is formed as General ($1,982) + Research ($0) + Ownership ($0) = $1,982.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($389).
Total Amount
$1,982
General + Research + Ownership
Payments
98
Total payment records
General Amount
$1,982
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $389 |
| Janssen Biotech, Inc. | $359 |
| Dermavant Sciences, Inc. | $279 |
| Sun Pharmaceutical Industries Inc. | $241 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $136 |
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: 2019-12-16
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20191216002422 | I | Physician Assistant | PA | 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 | 1,236 | 283 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 657 | 613 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 431 | 377 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 337 | 288 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 217 | 192 | $0 |
Insurance plans in this area (ZIP 19341)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| - | PA | |
| D E R M A T O L O G Y | PA | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | PA | |
| Physician Assistant | PA | |
| Physician Assistant | NM | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | PA | |
| Nurse Practitioner | PA | |
| - | PA |
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