DR. JOHN L ROUSSALIS (M.D.PC) – Plastic and Reconstructive Surgery Physician, NPI 1235252669
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
132 GENERAL SURGERY in DE
Provider Addresses for DR. JOHN L ROUSSALIS (M.D.PC)
537 STANTON CHRISTIANA RD
NEWARK, DE 197132146
Phone: (302) 633-7550
Fax: (302) 633-7556
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 53 Open Payments records for all available years, with a total value of $4,957.
Total Amount is formed as General ($4,957) + Research ($0) + Ownership ($0) = $4,957.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Kerecis Limited ($3,643).
Total Amount
$4,957
General + Research + Ownership
Payments
53
Total payment records
General Amount
$4,957
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $3,643 |
| Becton, Dickinson and Company | $350 |
| Janssen Biotech, Inc. | $238 |
| ConvaTec Inc. | $178 |
| Smith+Nephew, Inc. | $113 |
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: 2017-08-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20170807000644 | I | Plastic And Reconstructive Surgery | DE | 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 |
|---|---|---|---|---|
| A2001 | Innovamatrix ac, per square centimeter | 844 | 13 | $0 |
| Q4158 | Kerecis omega3, per square centimeter | 752 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 265 | 257 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 214 | 201 | $0 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 184 | 166 | $0 |
Insurance plans in this area (ZIP 19713)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | DE | |
| Physician Assistant | DE | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | DE | |
| D E R M A T O L O G Y | PA | |
| Physician Assistant | DE | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | DE | |
| O T O L A R Y N G O L O G Y | TX | |
| - | DE |
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