DR. PHILLIP R LETADA (M.D.) – Dermatology Physician, NPI 1700862588

DR. PHILLIP R LETADA (M.D.) is a healthcare provider. based in Mechanicsville, Virginia. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101236866 (VA). The NPI Number for DR. PHILLIP R LETADA (M.D.) is 1700862588

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILLIP R LETADA (M.D.)
NPI
1700862588
Phone
(757) 822-0233
Address
7288 HANOVER GREEN DR
Enumeration Date
22 December 2005
Last Update Date
5 February 2016

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
7574811666200
Graduation Year
2003 (23 years ago)
PAC ID
9537342506
Group Practice PAC ID
2961455076
Professional Enrollment ID
I20110329000496
Address ID
VA233103200CA216XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

471 DERMATOLOGY in VA

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Provider Addresses for DR. PHILLIP R LETADA (M.D.)

  • 7288, Hanover Green Drive, Mechanicsville, Hanover County, Virginia, 23111, United States

    MECHANICSVILLE, VA 231111706

    Phone: (757) 822-0233

    Type: Mailing

  • 17, Manhattan Square, Central Park, Hampton, Virginia, 23666, United States

    HAMPTON, VA 236665843

    Phone: (757) 838-8030

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 75 Open Payments records for all available years, with a total value of $2,190.

Total Amount is formed as General ($2,190) + Research ($0) + Ownership ($0) = $2,190.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($374).

Total Amount

$2,190

General + Research + Ownership

Payments

75

Total payment records

General Amount

$2,190

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2011-03-29

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
I20110329000496IDermatologyVATBD

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 growths4,874643$0
99213Established patient office or other outpatient visit, 20-29 minutes1,3641,064$0
17000Destruction of precancer skin growth, 1 growth966719$0
99214Established patient office or other outpatient visit, 30-39 minutes731598$0
11102Biopsy of related skin growth, first growth622484$0
View full utilization report →

Insurance plans in this area (ZIP 23111)

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Provider's Procedures

DR. PHILLIP R LETADA (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 tissue386239

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: 2961455076View full group profile
NameSpecialtyState
-VA
D E R M A T O L O G YVA
D E R M A T O L O G YVA
D E R M A T O L O G YVA
D E R M A T O L O G YVA
D E R M A T O L O G YVA
Dermatology, Micrographic Dermatologic Surgery (Mds)NC

Reviews

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Frequently asked questions

Does DR. PHILLIP R LETADA (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. PHILLIP R LETADA (M.D.) uses 1700862588.
Does CMS list DR. PHILLIP R LETADA (M.D.) as active?
Yes — DR. PHILLIP R LETADA (M.D.) is active in the NPI listing used on this page.
What is DR. PHILLIP R LETADA (M.D.) best known for clinically?
Directory data describes DR. PHILLIP R LETADA (M.D.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. PHILLIP R LETADA (M.D.) on a map?
Expect Mechanicsville, Virginia as a primary anchor for DR. PHILLIP R LETADA (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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