DR. SANTIAGO ALBERTO CENTURION (M.D.) – Dermatology Physician, NPI 1710099585
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
117 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in CA
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Provider Addresses for DR. SANTIAGO ALBERTO CENTURION (M.D.)
106, Lynch Creek Way, Petaluma, Sonoma County, California, 94954, United States
SUITE 8
PETALUMA, CA 949542356
Phone: (707) 763-6816
Fax: (707) 763-1730
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $10,631.
Total Amount is formed as General ($10,631) + Research ($0) + Ownership ($0) = $10,631.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($10,464).
Total Amount
$10,631
General + Research + Ownership
Payments
34
Total payment records
General Amount
$10,631
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $10,464 |
| Novartis Pharmaceuticals Corporation | $68 |
| Almirall LLC | $49 |
| Amgen Inc. | $18 |
| GENZYME CORPORATION | $16 |
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: 2008-04-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040601000113 | I | Dermatology | NJ | TBD |
| I20080414000406 | I | Dermatology | CA | 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 | 1,793 | 280 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 1,363 | 485 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 1,183 | 84 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 962 | 590 | $0 |
| 17314 | Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks | 866 | 353 | $0 |
Insurance plans in this area (ZIP 94954)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Family Practice, Dermatology | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Nurse Practitioner | CA |
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