SANJIVA GOYAL (M.D.) – Dermatology Physician, NPI 1558350702
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Loading map...
Provider Addresses for SANJIVA GOYAL (M.D.)
PO BOX 2878
PONTE VEDRA BEACH, FL 320042878
Phone: (904) 567-1050
Type: Mailing
2804, Saint Johns Bluff Road South, Jacksonville, Duval County, Florida, 32246, United States
STE 109
JACKSONVILLE, FL 322463776
Phone: (904) 727-9123
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 114 Open Payments records for all available years, with a total value of $2,680.
Total Amount is formed as General ($2,680) + Research ($0) + Ownership ($0) = $2,680.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($701).
Total Amount
$2,680
General + Research + Ownership
Payments
114
Total payment records
General Amount
$2,680
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $701 |
| Janssen Biotech, Inc. | $380 |
| E.R. Squibb & Sons, L.L.C. | $305 |
| Amgen Inc. | $252 |
| LEO Pharma Inc. | $169 |
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: 2004-04-06
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 |
|---|---|---|---|---|
| I20040406001714 | 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 | 820 | 148 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 366 | 254 | $0 |
| 96910 | Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | 360 | 17 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 306 | 225 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 297 | 205 | $0 |
Insurance plans in this area (ZIP 32004)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | FL | 17003 | Destruction of 2-14 skin growths | 1029 | 182 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.