Individual provider Active NPI

Richard M. Wyatt, MD

  • Dermatology Physician
  • Amherst, MA
National Provider Identifier
1568447613
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
155828 Issued in MA
Practice address
29B Cottage St
Amherst, MA 01002-2172
Phone
(413) 549-7400
Fax
(413) 549-7402
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 155828 MA Primary

Addresses

Primary practice location

29B Cottage St
Amherst, MA 01002-2172

Mailing address

526 Main St Ste 302
Acton, MA 01720-3301
Phone (978) 371-7010

Other identifiers 18

IdentifierTypeStateIssuer
000000020255OtherMABMC
000183947610OtherMAUNITED HEALTHCARE
010550144OtherMACONSOLIDATED
010550144OtherMATRICARE
155828OtherMATUFTS
J19454OtherMABCBSMA
010550144OtherMANORTHEAST HEALTHCARE ALLI
010550144OtherMAPLAN VISTA
10550144OtherMACONNECTICARE
7011791-005OtherMACIGNA
401219OtherMAHARVARD PILGRIM
010550144OtherMAGREAT-WEST
010550144OtherMAPHCS
10550144OtherMAPIONEER HEALTH NETWORK
5108024OtherMAAETNA
010550144OtherMANORTH AMERICAN PREFERRED
010550144OtherMANORTHEAST HEALTH DIRECT
29546OtherMAHEALTH NEW ENGLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415001169 MA Practitioner - Dermatology 5294720694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Duke University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Valley Dermatology PCGroup PAC ID 0244201960, 6 clinicians

Practice addresses (Care Compare)

29 B Cottage St
Amherst, MA 01002-1206
Phone (978) 371-7010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.01 of 100Reported as individual
Quality
63.2
Promoting interoperability
54
Improvement activities
40
Cost
98.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision49
Removal of skin lesions2272
Removal or shaving of skin growth54
Skin biopsy328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
155828MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Valley Dermatology PC Dermatology CurrentSince Feb 1, 2004 Accepting new patients
PV Bay State LLC Dermatology PastSince Jan 26, 2025 Accepting new patients

Locations

29 Cottage St
Ste B
Amherst, MA 01002
Phone (413) 549-7400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1568447613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203301",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29B COTTAGE ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022172",
            "telephone_number": "413-549-7400",
            "fax_number": "413-549-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "RICHARD",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "155828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
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            "identifier": "000000020255",
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            "issuer": "UNITED HEALTHCARE",
            "identifier": "000183947610",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSOLIDATED",
            "identifier": "010550144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "010550144",
            "state": "MA"
        },
        {
            "code": "01",
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            "issuer": "TUFTS",
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            "state": "MA"
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        {
            "code": "01",
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            "issuer": "NORTHEAST HEALTHCARE ALLI",
            "identifier": "010550144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAN VISTA",
            "identifier": "010550144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "10550144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7011791-005",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "401219",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT-WEST",
            "identifier": "010550144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "010550144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIONEER HEALTH NETWORK",
            "identifier": "10550144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5108024",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AMERICAN PREFERRED",
            "identifier": "010550144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHEAST HEALTH DIRECT",
            "identifier": "010550144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "29546",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.