JERRY LEO HEDRICK (MD) – Dermatology Physician, NPI 1164457412
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JERRY LEO HEDRICK (MD)
13009 Summerfield Square Dr
Riverview, FL 335787402
Phone: (813) 321-1786
Fax: (813) 321-1787
Type: Location
Van Dyke Road, Lutz, Hillsborough County, Florida, 33548, United States
LUTZ, FL 335584880
Phone: (813) 321-1786
Fax: (813) 321-1787
Type: Mailing
500, Vonderburg Drive, Allendale, Brandon, Hillsborough County, Florida, 33511, United States
STE 115W
BRANDON, FL 335115969
Phone: (813) 685-0306
Fax: (813) 651-1026
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $1,830.
Total Amount is formed as General ($1,830) + Research ($0) + Ownership ($0) = $1,830.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($465).
Total Amount
$1,830
General + Research + Ownership
Payments
81
Total payment records
General Amount
$1,830
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $465 |
| Janssen Biotech, Inc. | $386 |
| Regeneron Healthcare Solutions, Inc. | $131 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $96 |
| PFIZER INC. | $90 |
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: 2005-08-12
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 |
|---|---|---|---|---|
| I20050812000260 | I | Dermatology | FL | 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 | 5,022 | 840 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,666 | 1,025 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,524 | 1,005 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 745 | 602 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 564 | 466 | $0 |
Insurance plans in this area (ZIP 33578)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | FL | |
| - | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Physician Assistant | FL |
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