Kyle M. Van De Graaff, M.D.
NPI 1770577025ActiveIndividual· Dermatology· Corvallis, OR
Dermatology (M.D.) in Corvallis, Oregon, trained at University of Texas Medical School at San Antonio (class of 1997). Their prescriptions cost Medicare Part D more than their services did: $429,468 for 1,168 claims, against $115,185 paid for services in 2024.
Overview
| NPI | 1770577025 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 1, 2005 |
| Last updated in NPPES | Aug 31, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | MD152734 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dermatology (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 738 |
|---|---|
| Services billed | 2,516 across 36 procedure codes |
| Paid by Medicare | $115,185 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,168 · 1,880 30-day fills |
|---|---|
| Patients | 485 |
| Total drug cost | $429,468 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | University of Texas Medical School at San Antonio |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Dermatology |
Medical group
- The Corvallis Clinic P CAlbany, OR · 124 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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