KIM LYNNETTE DITTUS (MD, PHD) – Hematology (Internal Medicine) Physician, NPI 1154538262

KIM LYNNETTE DITTUS (MD, PHD) is a healthcare provider. based in Middleton, Wisconsin. specializing in HEMATOLOGY/ONCOLOGY, MEDICAL ONCOLOGY. They hold the professional credentials MD, PHD. They hold a License No. 83937-20 (WI). The NPI Number for KIM LYNNETTE DITTUS (MD, PHD) is 1154538262

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KIM LYNNETTE DITTUS (MD, PHD)
NPI
1154538262
Phone
Not provided
Address
7974 UW HEALTH CT
Enumeration Date
17 May 2007
Last Update Date
24 June 2024

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
8028470000
Graduation Year
2002 (24 years ago)
PAC ID
6103991070
Group Practice PAC ID
3779491071
Professional Enrollment ID
I20080813000061
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:19State licenses:2Digital endpointsOther names

32 HEMATOLOGY/ONCOLOGY in VT

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Provider Addresses for KIM LYNNETTE DITTUS (MD, PHD)

  • 7974 UW HEALTH CT

    MIDDLETON, WI 535625531

    Phone:

    Type: Mailing

  • Beaumont Avenue, Northwood, Burlington, Alamance County, North Carolina, 27217, United States

    GIVEN BLDG E214

    BURLINGTON, VT 054051742

    Phone: (802) 847-3827

    Type: Location

  • 146, Green Hills Drive, Shelburne, Chittenden County, Vermont, 05482, United States

    SHELBURNE, VT 05482

    Phone: (802) 985-8296

    Type: Mailing

  • 600 HIGHLAND AVE

    MADISON, WI 537921742

    Phone: (608) 265-1700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-06-06

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
I20240606002152IMedical OncologyWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10186$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7841$0
99215Established patient office or other outpatient visit, 40-54 minutes7542$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3119$0
99238Hospital discharge day management, 30 minutes or less1717$0
View full utilization report →

Insurance plans in this area (ZIP 53562)

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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: 3779491071View full group profile

Reviews

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Frequently asked questions

How do payers reference KIM LYNNETTE DITTUS (MD, PHD)?
For KIM LYNNETTE DITTUS (MD, PHD), use NPI 1154538262 as the unique 10-digit identifier.
Is KIM LYNNETTE DITTUS (MD, PHD) still an active registrant?
KIM LYNNETTE DITTUS (MD, PHD) carries an active NPI according to the public dataset.
What clinical focus is listed for KIM LYNNETTE DITTUS (MD, PHD)?
At a glance, KIM LYNNETTE DITTUS (MD, PHD) is tied to Hematology (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is KIM LYNNETTE DITTUS (MD, PHD) registered?
Use Middleton, Wisconsin as the headline location for KIM LYNNETTE DITTUS (MD, PHD) here.
When was this NPI issued?
Enumeration for KIM LYNNETTE DITTUS (MD, PHD) is noted as May 17, 2007 where the registry provides it.

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