JOHN RAY TALLEY (M.D.) – Plastic Surgery Physician, NPI 1861653255
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
803 PLASTIC AND RECONSTRUCTIVE SURGERY in CA
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Provider Addresses for JOHN RAY TALLEY (M.D.)
325, Distel Circle, Los Altos, Santa Clara County, California, 94022, United States
LOS ALTOS, CA 940221408
Phone: (650) 853-2916
Type: Mailing
795, El Camino Real, Palo Alto, Santa Clara County, California, 94301, United States
PALO ALTO, CA 943012302
Phone: (650) 853-2916
Type: Location
701 E El Camino Real
Mountain View, CA 940402833
Phone: (650) 934-7000
Type: Location
3500 N SABINO CANYON RD
UNIT 87
TUCSON, AZ 857506161
Phone: (520) 881-4525
Fax: (520) 881-2962
Type: Mailing
1102 N EL DORADO PL
TUCSON, AZ 857154606
Phone: (520) 881-4525
Fax: (520) 881-2962
Type: Location
795 EL CAMINO REAL
PALO ALTO, CA 943012302
Phone: (650) 853-2916
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $282.
Total Amount is formed as General ($282) + Research ($0) + Ownership ($0) = $282.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Mentor Worldwide LLC ($108).
Total Amount
$282
General + Research + Ownership
Payments
10
Total payment records
General Amount
$282
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $108 |
| ABBVIE INC. | $69 |
| TELA Bio, Inc. | $65 |
| RTI SURGICAL, INC | $23 |
| Ethicon US, LLC | $18 |
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: 2021-06-01
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 |
|---|---|---|---|---|
| I20151005002805 | I | Plastic And Reconstructive Surgery | CA | TBD |
| I20210601002760 | I | Plastic And Reconstructive Surgery | AZ | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 94022)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| A L L E R G Y/ I M M U N O L O G Y | CA | |
| - | CA | |
| Hospitalist, Obstetrics/Gynecology | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| A N E S T H E S I O L O G Y | CA |
Reviews
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