EARL DWAYNE LETT (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1790757755

EARL DWAYNE LETT (M.D.) is a healthcare provider. based in Lebanon, Tennessee. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MD25738 (TN). The NPI Number for EARL DWAYNE LETT (M.D.) is 1790757755

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
EARL DWAYNE LETT (M.D.)
NPI
1790757755
Phone
(615) 784-4039
Address
920 S Hartmann Dr Ste 340
Enumeration Date
3 February 2006
Last Update Date
25 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
6154430901
Graduation Year
1988 (38 years ago)
PAC ID
2567538309
Group Practice PAC ID
4688586134
Professional Enrollment ID
I20080903000059
Address ID
TN371223973MT660XXRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

143 PLASTIC AND RECONSTRUCTIVE SURGERY in TN

Provider Addresses for EARL DWAYNE LETT (M.D.)

  • 920 S Hartmann Dr Ste 340

    Lebanon, TN 370904101

    Phone: (615) 784-4039

    Fax: (615) 443-0310

    Type: Location

  • 410 42ND AVE N STE 400

    NASHVILLE, TN 372093658

    Phone: (615) 329-7887

    Fax: (615) 346-6225

    Type: Mailing

  • 660 S MOUNT JULIET RD STE 210

    MOUNT JULIET, TN 371223973

    Phone: (615) 443-0901

    Fax: (615) 442-0310

    Type: Location

  • 1417, West Baddour Parkway, West End Heights, Lebanon, Wilson County, Tennessee, 37087, United States

    SUITE B

    LEBANON, TN 370872513

    Phone: (615) 443-0901

    Fax: (615) 443-0310

    Type: Location

  • Century Boulevard, Nashville, Davidson County, Tennessee, 37214, United States

    NASHVILLE, TN 372143693

    Phone: (615) 346-6213

    Fax: (615) 346-6225

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 99 Open Payments records for all available years, with a total value of $5,805.

Total Amount is formed as General ($5,805) + Research ($0) + Ownership ($0) = $5,805.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($3,806).

Total Amount

$5,805

General + Research + Ownership

Payments

99

Total payment records

General Amount

$5,805

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

View all Open Payments →|Open Payments Risk Radar →

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: 2008-09-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080903000059IPlastic And Reconstructive SurgeryTNTBD

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
99203New patient office or other outpatient visit, 30-44 minutes2424$0
99212Established patient office or other outpatient visit, 10-19 minutes1918$0
99213Established patient office or other outpatient visit, 20-29 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 37090)

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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: 4688586134View full group profile
NameSpecialtyState
General SurgeryTN
Radiation OncologyWV
-TN
-CO
General SurgeryTN
Physician AssistantTN
H E M A T O L O G Y/ O N C O L O G YFL
Nurse PractitionerTN
-TN
Nurse PractitionerCA

Reviews

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Frequently asked questions

How do payers reference EARL DWAYNE LETT (M.D.)?
For EARL DWAYNE LETT (M.D.), use NPI 1790757755 as the unique 10-digit identifier.
Is there an active status for EARL DWAYNE LETT (M.D.)?
For scheduling context, EARL DWAYNE LETT (M.D.) is shown as active in the registry.
What kind of doctor is EARL DWAYNE LETT (M.D.)?
EARL DWAYNE LETT (M.D.) is associated with Plastic and Reconstructive Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with EARL DWAYNE LETT (M.D.)?
Directory geography for EARL DWAYNE LETT (M.D.) centers on Lebanon, Tennessee.
When was this NPI issued?
Enumeration for EARL DWAYNE LETT (M.D.) is noted as February 3, 2006 where the registry provides it.

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