DR. ELIZABETH WILDER (M.D.) – Dermatology Physician, NPI 1780027052
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for DR. ELIZABETH WILDER (M.D.)
411 N WASHINGTON AVE STE 1200
DALLAS, TX 752461744
Phone: (214) 396-5227
Fax: (214) 396-5445
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $686.
Total Amount is formed as General ($686) + Research ($0) + Ownership ($0) = $686.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: ABBVIE INC. ($293).
Total Amount
$686
General + Research + Ownership
Payments
6
Total payment records
General Amount
$686
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $293 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $241 |
| Biofrontera Inc. | $153 |
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: 2017-05-31
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 |
|---|---|---|---|---|
| I20170531001527 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 386 | 205 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 378 | 84 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 234 | 154 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 225 | 149 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 177 | 112 | $0 |
Insurance plans in this area (ZIP 75246)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds), Dermatology | TX |
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