DR. JOHN CHARLES JR. LONG (MD) – Dermatology Physician, NPI 1356351043
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
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Provider Addresses for DR. JOHN CHARLES JR. LONG (MD)
155, Nova Road, Ormond Beach, Volusia County, Florida, 32174, United States
ORMOND BEACH, FL 321745138
Phone: (386) 672-3111
Fax: (386) 672-6532
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 6 Open Payments records for all available years, with a total value of $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: ABBVIE INC. ($38).
Total Amount
$128
General + Research + Ownership
Payments
6
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $38 |
| Regeneron Healthcare Solutions, Inc. | $35 |
| E.R. Squibb & Sons, L.L.C. | $22 |
| PFIZER INC. | $18 |
| Incyte 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: 2007-11-12
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 |
|---|---|---|---|---|
| I20071112000466 | 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 | 15,741 | 1,161 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2,661 | 877 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 2,512 | 1,218 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,341 | 642 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 1,127 | 88 | $0 |
Insurance plans in this area (ZIP 32174)
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Provider's Procedures
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