PICHAYA SARASOMBATH RATARASARN (M.D.) – Dermatology Physician, NPI 1225095466
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
339 DERMATOLOGY in WI
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Provider Addresses for PICHAYA SARASOMBATH RATARASARN (M.D.)
Parmenter Street, Middleton, Dane County, Wisconsin, 53562, United States
MIDDLETON, WI 535621537
Phone: (414) 243-2999
Type: Mailing
3051, Cahill Main, Hatchery Hill, Nevin State Fish Hatchery, Fitchburg, Dane County, Wisconsin, 53711, United States
FITCHBURG, WI 537117109
Phone: (608) 661-7200
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: 2009-02-16
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 |
|---|---|---|---|---|
| I20090216000505 | I | Dermatology | WI | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 118 | 26 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 96 | 79 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 61 | 51 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 48 | 42 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 44 | 36 | $0 |
Insurance plans in this area (ZIP 53562)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | WI | |
| - | WI | |
| Diagnostic Radiology | IA | |
| Nurse Practitioner | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| - | WI | |
| Clinical Social Worker | WI | |
| - | WI | |
| Diagnostic Radiology | WI |
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