KATELYN URBAN – Dermatology Physician, NPI 1114357191
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
808 DERMATOLOGY in PA
Provider Addresses for KATELYN URBAN
5565 COPPER DR APT 103
ERIE, PA 165093888
Phone: (440) 213-6831
Type: Mailing
2315 MYRTLE ST STE 290
ERIE, PA 165024602
Phone: (814) 454-1142
Fax: (814) 454-1255
Type: Location
13400 E RIVER RD
COLUMBIA STATION, OH 440289535
Phone: (440) 213-6831
Type: Mailing
180 NEWPORT CENTER DR STE 158
NEWPORT BEACH, CA 926600934
Phone: (440) 585-6500
Type: Location
27100 CHARDON RD
RICHMOND HEIGHTS, OH 441431116
Phone: (440) 585-6500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $1,344.
Total Amount is formed as General ($1,344) + Research ($0) + Ownership ($0) = $1,344.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($552).
Total Amount
$1,344
General + Research + Ownership
Payments
45
Total payment records
General Amount
$1,344
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $552 |
| Amgen Inc. | $214 |
| GENZYME CORPORATION | $143 |
| E.R. Squibb & Sons, L.L.C. | $128 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $74 |
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: 2025-07-01
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 |
|---|---|---|---|---|
| I20250701003830 | I | Dermatology | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 16509)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | TX | |
| - | CA | |
| - | CA | |
| P A T H O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| Dermatology, Internal Medicine | CA | |
| D E R M A T O L O G Y | CA | |
| P A T H O L O G Y | CA |
Reviews
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