DR. SUSAN MARIE MATA (MD) – Dermatology Physician, NPI 1477518892
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. SUSAN MARIE MATA (MD)
11030, RCA Center Drive, Monet, Palm Beach Gardens, North Palm Beach, Palm Beach County, Florida, 33410, United States
STE 3015
PALM BEACH GARDENS, FL 334104276
Phone: (561) 776-7041
Fax: (561) 776-7043
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 $708.
Total Amount is formed as General ($708) + Research ($0) + Ownership ($0) = $708.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($240).
Total Amount
$708
General + Research + Ownership
Payments
34
Total payment records
General Amount
$708
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. | $240 |
| Amgen Inc. | $113 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $49 |
| Dermavant Sciences, Inc. | $39 |
| Kerecis Limited | $38 |
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: 2008-01-10
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 |
|---|---|---|---|---|
| I20080110000517 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 863 | 514 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 752 | 151 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 461 | 234 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 394 | 280 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 321 | 235 | $0 |
Insurance plans in this area (ZIP 33410)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | TN | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL |
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