Tatyana Humphreys, M.D.
NPI 1184645731ActiveIndividual· Dermatology, MOHS-Micrographic Surgery· Wynnewood, PA
Dermatology, MOHS-Micrographic Surgery (M.D.) in Wynnewood, Pennsylvania, trained at Perelman School of Med at the University of Pennsylvania (class of 1990). 372 Medicare patients in 2024, $342,076 paid; nearly all of their 186 Part D prescriptions were generic (98%).
Overview
| NPI | 1184645731 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 21, 2006 |
| Last updated in NPPES | Sep 29, 2020 |
| Certified by provider | Sep 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, MOHS-Micrographic Surgery Primary | 207ND0101X | MD047761L | PA |
| Dermatology | 207N00000X | MD047761L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Micrographic Dermatologic Surgery (Mds) (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 372 |
|---|---|
| Services billed | 2,115 across 102 procedure codes |
| Paid by Medicare | $342,076 |
Part D prescriptions in 2024
| Prescriptions (claims) | 186 · 186 30-day fills |
|---|---|
| Patients | 133 |
| Total drug cost | $2,583 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | Perelman School of Med at the University of Pennsylvania |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Micrographic Dermatologic Surgery (Mds) |
| Secondary specialties | Dermatology |
Medical group
- John K. Wildemore, MD, LLCWayne, PA · 4 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records