DR. MARY TRINH PENTEL (M.D.) – Dermatology Physician, NPI 1588677058
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. MARY TRINH PENTEL (M.D.)
4727, Sunbeam Road, Sunbeam, Jacksonville, Duval County, Florida, 32257, United States
SUITE 101
JACKSONVILLE, FL 322576107
Phone: (904) 880-0622
Fax: (904) 880-0623
Type: Location
PO BOX 13859
TALLAHASSEE, FL 323173859
Phone: (850) 205-6232
Fax: (855) 975-0615
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 104 Open Payments records for all available years, with a total value of $3,886.
Total Amount is formed as General ($3,886) + Research ($0) + Ownership ($0) = $3,886.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($664).
Total Amount
$3,886
General + Research + Ownership
Payments
104
Total payment records
General Amount
$3,886
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $664 |
| Merz North America, Inc. | $586 |
| Organogenesis Inc. | $251 |
| Janssen Biotech, Inc. | $248 |
| Arcutis Biotherapeutics, Inc. | $240 |
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: 2014-08-06
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 |
|---|---|---|---|---|
| I20140806001687 | 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 | 1,235 | 628 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 893 | 200 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 570 | 256 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 493 | 365 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 413 | 299 | $0 |
Insurance plans in this area (ZIP 32257)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL |
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