RYAN SACOTTE – Dermatology Physician, NPI 1164815890

RYAN SACOTTE is a healthcare provider. based in Brookfield, Wisconsin. specializing in DERMATOLOGY. They hold a License No. 39577-20 (WI). The NPI Number for RYAN SACOTTE is 1164815890

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
RYAN SACOTTE
NPI
1164815890
Phone
(262) 754-4488
Address
13800 W NORTH AVE
Enumeration Date
4 March 2015
Last Update Date
16 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2627544488119
Graduation Year
2018 (8 years ago)
PAC ID
6305259458
Group Practice PAC ID
8123065794
Professional Enrollment ID
I20220718001533
Address ID
WI530054977BR13800AVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

339 DERMATOLOGY in WI

Provider Addresses for RYAN SACOTTE

  • 13800 W NORTH AVE

    BROOKFIELD, WI 530054977

    Phone: (262) 754-4488

    Type: Location

  • 1 E DELAWARE PL

    APT 34J

    CHICAGO, IL 606111449

    Phone:

    Type: Mailing

  • 1 E Delaware Pl

    APT 34J

    Chicago, IL 606111449

    Phone: (262) 689-6601

    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: 2022-07-18

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
I20220718001533IDermatologyWITBD

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 growths583102$0
17000Destruction of precancer skin growth, 1 growth162121$0
99213Established patient office or other outpatient visit, 20-29 minutes149119$0
11102Biopsy of related skin growth, first growth124103$0
99214Established patient office or other outpatient visit, 30-39 minutes10478$0
View full utilization report →

Insurance plans in this area (ZIP 53005)

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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: 8123065794View full group profile
NameSpecialtyState
Micrographic Dermatologic Surgery (Mds), DermatologyOH
Physician AssistantWI
D E R M A T O L O G YWI
D E R M A T O L O G YWI
-WI
D E R M A T O L O G YWI
D E R M A T O L O G YWI
-WI
D E R M A T O L O G YWI
D E R M A T O L O G YWI

Reviews

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Frequently asked questions

How do payers reference RYAN SACOTTE?
For RYAN SACOTTE, use NPI 1164815890 as the unique 10-digit identifier.
Active or inactive — what applies to RYAN SACOTTE?
You should see RYAN SACOTTE as active in CMS-hosted NPPES data.
How would a patient describe RYAN SACOTTE's focus?
For RYAN SACOTTE, the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is RYAN SACOTTE associated with Brookfield?
Public fields place RYAN SACOTTE around Brookfield, Wisconsin. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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