MRS. ASHLEY MARIE DIETRICH (MD) – Dermatology Physician, NPI 1780030825
Dermatology Physician
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NPPES metrics only — not quality of care.
339 DERMATOLOGY in WI
Provider Addresses for MRS. ASHLEY MARIE DIETRICH (MD)
10500 W Loomis Rd Ste 110
Franklin, WI 531328030
Phone: (262) 898-4400
Fax: (414) 858-9104
Type: Location
111 Wisconsin American Dr
Fond Du Lac, WI 549376725
Phone: (920) 923-0788
Fax: (920) 273-0085
Type: Location
16455 W Bluemound Rd
Brookfield, WI 530055921
Phone: (262) 784-7820
Fax: (262) 784-7936
Type: Location
W176N9352 River Crest Dr Ste 3
Menomonee Falls, WI 530518025
Phone: (262) 345-2898
Fax: (262) 345-2899
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
2600 N MAYFAIR RD STE 810
MILWAUKEE, WI 532261328
Phone: (414) 771-1122
Fax: (414) 771-1352
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 675 Open Payments records for all available years, with a total value of $258,108.
Total Amount is formed as General ($258,108) + Research ($0) + Ownership ($0) = $258,108.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($207,059).
Total Amount
$258,108
General + Research + Ownership
Payments
675
Total payment records
General Amount
$258,108
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $207,059 |
| GENZYME CORPORATION | $28,273 |
| Regeneron Healthcare Solutions, Inc. | $11,426 |
| Galderma Laboratories, L.P. | $6,041 |
| Dermavant Sciences, Inc. | $804 |
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: 2020-08-17
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 |
|---|---|---|---|---|
| I20200817001005 | 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 | 523 | 106 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 293 | 179 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 194 | 134 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 105 | 84 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 100 | 60 | $0 |
Insurance plans in this area (ZIP 53132)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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