DR. KAPPA M PEDDY (M.D.) – Dermatology Physician, NPI 1558315481

DR. KAPPA M PEDDY (M.D.) is a healthcare provider. based in Lynchburg, Virginia. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101225823 (VA). The NPI Number for DR. KAPPA M PEDDY (M.D.) is 1558315481

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAPPA M PEDDY (M.D.)
NPI
1558315481
Phone
(434) 847-6132
Address
1330 OAK LN
Enumeration Date
22 May 2006
Last Update Date
7 August 2018

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
4348476132
Graduation Year
1992 (34 years ago)
PAC ID
1355350968
Group Practice PAC ID
0749299352
Professional Enrollment ID
I20101028001346
Address ID
VA245032513LY1330XLNXX348
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

471 DERMATOLOGY in VA

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Provider Addresses for DR. KAPPA M PEDDY (M.D.)

  • 1330, Oak Lane, Lynchburg, Lynchburg (city), Virginia, 24503, United States

    SUITE 101

    LYNCHBURG, VA 245032513

    Phone: (434) 847-6132

    Fax: (434) 845-4870

    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 86 Open Payments records for all available years, with a total value of $1,879.

Total Amount is formed as General ($1,879) + Research ($0) + Ownership ($0) = $1,879.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($517).

Total Amount

$1,879

General + Research + Ownership

Payments

86

Total payment records

General Amount

$1,879

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: 2010-10-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101028001346IDermatologyVATBD

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
17003Destruction of precancer skin growth, 2-14 growths2,019375$0
99213Established patient office or other outpatient visit, 20-29 minutes1,1791,058$0
17000Destruction of precancer skin growth, 1 growth547484$0
11102Biopsy of related skin growth, first growth275260$0
17110Destruction of skin growth, 1-14 growths264250$0
View full utilization report →

Insurance plans in this area (ZIP 24503)

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Provider's Procedures

DR. KAPPA M PEDDY (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYVA11101Biopsy of each additional growth of skin and/or tissue9172

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: 0749299352View full group profile
NameSpecialtyState
Physician AssistantVA
-VA
Physician AssistantCA
-VA
Physician AssistantVA
-MI
D E R M A T O L O G YVA

Reviews

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Frequently asked questions

What is DR. KAPPA M PEDDY (M.D.)'s NPI number?
DR. KAPPA M PEDDY (M.D.)'s NPI is 1558315481 — the number used across U.S. healthcare to identify this provider.
Is DR. KAPPA M PEDDY (M.D.) still an active registrant?
DR. KAPPA M PEDDY (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. KAPPA M PEDDY (M.D.)?
At a glance, DR. KAPPA M PEDDY (M.D.) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KAPPA M PEDDY (M.D.)?
Travel planning: use Lynchburg, Virginia as the reference point for DR. KAPPA M PEDDY (M.D.), then confirm.
When was this NPI issued?
Enumeration for DR. KAPPA M PEDDY (M.D.) is noted as May 22, 2006 where the registry provides it.

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