DR. KYLE ERICK RUDNINGEN (MD) – Dermatology Physician, NPI 1194248013
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
339 DERMATOLOGY in WI
Provider Addresses for DR. KYLE ERICK RUDNINGEN (MD)
UW HOSPITALS & CLINICS 600 HIGHLAND AVE
MADISON, WI 537920001
Phone: (608) 263-6400
Type: Mailing
UW HOSPTIALS & CLINICS 600 HIGHLAND AVE
MADISON, WI 53792
Phone: (608) 263-6400
Type: Location
1900 CENTRACARE CIR STE 2575
SAINT CLOUD, MN 563035000
Phone: (320) 229-4924
Fax: (320) 229-4971
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.
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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: 2022-08-19
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 |
|---|---|---|---|---|
| I20220819002264 | I | Dermatology | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 110 | 71 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 80 | 47 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 67 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 52 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 53 | 46 | $0 |
Insurance plans in this area (ZIP 53792)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Nurse Practitioner | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| Dermatology, Internal Medicine | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MA | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN |
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