MR. MYLES SIDNEY JERDAN (MEDICAL DOCTOR) – Dermatology Physician, NPI 1770549701
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
409 DERMATOLOGY in GA
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Provider Addresses for MR. MYLES SIDNEY JERDAN (MEDICAL DOCTOR)
Dermatology Specialists of Florida, 2505, Harrison Avenue, Panama City, Bay County, Florida, 32405, United States
PANAMA CITY, FL 324054464
Phone: (850) 233-3376
Fax: (850) 522-8354
Type: Mailing
1605, Whitesville Street, LaGrange, Troup County, Georgia, 30240, United States
LAGRANGE, GA 302405903
Phone: (877) 231-3376
Fax: (850) 522-8354
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 82 Open Payments records for all available years, with a total value of $1,713.
Total Amount is formed as General ($1,713) + Research ($0) + Ownership ($0) = $1,713.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($408).
Total Amount
$1,713
General + Research + Ownership
Payments
82
Total payment records
General Amount
$1,713
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $408 |
| Janssen Biotech, Inc. | $386 |
| Amgen Inc. | $261 |
| Incyte Corporation | $148 |
| GENZYME CORPORATION | $71 |
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: 2019-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20120104000207 | I | Dermatology | GA | TBD |
| I20191216002968 | I | Dermatology | TN | 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 | 960 | 150 | $0 |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 636 | 33 | $0 |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 589 | 32 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 587 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 492 | 282 | $0 |
Insurance plans in this area (ZIP 32405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | GA | |
| - | GA | |
| D E R M A T O L O G Y | GA | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Nurse Practitioner | GA |
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