DR. DANIEL D LYDIATT (M.D.) – Surgery Physician, NPI 1417913302
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. DANIEL D LYDIATT (M.D.)
PO BOX 10190
VIRGINIA BEACH, VA 234500190
Phone: (800) 477-5240
Fax: (757) 463-6572
Type: Mailing
Nebraska Methodist Hospital, 8303, Dodge Street, Omaha, Douglas County, Nebraska, 68114, United States
OMAHA, NE 681144108
Phone: (402) 354-5048
Fax: (402) 354-2585
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-04-15 • Largest payer in this snapshot: KARL STORZ Endoscopy-America ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KARL STORZ Endoscopy-America | $18 |
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: 2004-03-20
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 |
|---|---|---|---|---|
| I20040320000297 | I | Otolaryngology | NE | 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 23450)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NE | |
| Physician Assistant | VA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NE | |
| P A T H O L O G Y | NE | |
| Nurse Practitioner | NE | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NE | |
| Nurse Practitioner | NE | |
| Maxillofacial Surgery | NE | |
| P A T H O L O G Y | NE | |
| - | NE |
Reviews
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