Active NPI
Richard M. Wyatt, MD
- Dermatology Physician
- Amherst, MA
National Provider Identifier
1568447613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 155828
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000020255 | Other | MA | BMC |
| 000183947610 | Other | MA | UNITED HEALTHCARE |
| 010550144 | Other | MA | CONSOLIDATED |
| 010550144 | Other | MA | TRICARE |
| 155828 | Other | MA | TUFTS |
| J19454 | Other | MA | BCBSMA |
| 010550144 | Other | MA | NORTHEAST HEALTHCARE ALLI |
| 010550144 | Other | MA | PLAN VISTA |
| 10550144 | Other | MA | CONNECTICARE |
| 7011791-005 | Other | MA | CIGNA |
| 401219 | Other | MA | HARVARD PILGRIM |
| 010550144 | Other | MA | GREAT-WEST |
| 010550144 | Other | MA | PHCS |
| 10550144 | Other | MA | PIONEER HEALTH NETWORK |
| 5108024 | Other | MA | AETNA |
| 010550144 | Other | MA | NORTH AMERICAN PREFERRED |
| 010550144 | Other | MA | NORTHEAST HEALTH DIRECT |
| 29546 | Other | MA | HEALTH 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
Enrollment records 1
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
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 100
- Quality
- 63.2
- Promoting interoperability
- 54
- Improvement activities
- 40
- Cost
- 98.52
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 49 |
| Removal of skin lesions | 2272 |
| Removal or shaving of skin growth | 54 |
| Skin biopsy | 328 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155828 | MA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Valley Dermatology PC | Dermatology | Current | Accepting new patients |
| PV Bay State LLC | Dermatology | Past | 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.
-
- Dermatology Physician
- Amherst, MA
- NPI 1114020211
-
- Dermatology Physician
- Amherst, MA
- NPI 1700698222
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
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)",
"issuer": "BMC",
"identifier": "000000020255",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"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",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "155828",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "J19454",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.