LISA ANN GUIDRY PRUETT (MD) – Dermatology Physician, NPI 1356367106
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for LISA ANN GUIDRY PRUETT (MD)
8201 PRESTON RD STE 440
DALLAS, TX 752256209
Phone: (214) 675-3227
Fax: (972) 435-4481
Type: Location
4340, North Josey Lane, Carrollton, Denton County, Texas, 75010, United States
SUITE 100
CARROLLTON, TX 750104602
Phone: (972) 492-7900
Fax: (972) 492-7583
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 392 Open Payments records for all available years, with a total value of $8,809.
Total Amount is formed as General ($8,809) + Research ($0) + Ownership ($0) = $8,809.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($2,198).
Total Amount
$8,809
General + Research + Ownership
Payments
392
Total payment records
General Amount
$8,809
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $2,198 |
| GENZYME CORPORATION | $959 |
| Lilly USA, LLC | $710 |
| Dermavant Sciences, Inc. | $432 |
| Sun Pharmaceutical Industries Inc. | $356 |
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: 2009-10-05
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 |
|---|---|---|---|---|
| I20091005000770 | I | Dermatology | TX | 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 | 705 | 114 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 208 | 143 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 203 | 143 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 148 | 119 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 120 | 99 | $0 |
Insurance plans in this area (ZIP 75225)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | TX | 17003 | Destruction of 2-14 skin growths | 1249 | 202 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX |
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