JOHNNY GURGEN (D.O.) – Dermatology Physician, NPI 1962666966
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,369 DERMATOLOGY in FL
Provider Addresses for JOHNNY GURGEN (D.O.)
1340 Citizens Blvd
Leesburg, FL 347483924
Phone: (352) 435-7695
Type: Location
920 ROLLING ACRES RD UNIT 203
LADY LAKE, FL 321595029
Phone: (352) 435-7695
Fax: (352) 435-7453
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $351.
Total Amount is formed as General ($351) + Research ($0) + Ownership ($0) = $351.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Organogenesis Inc. ($79).
Total Amount
$351
General + Research + Ownership
Payments
16
Total payment records
General Amount
$351
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-08-25
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 |
|---|---|---|---|---|
| I20100825001007 | 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 |
|---|---|---|---|---|
| 77401 | Superficial and/or low voltage radiation treatment delivery | 7,806 | 449 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 3,906 | 1,285 | $0 |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 2,546 | 409 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,211 | 377 | $0 |
| 77300 | Calculation of radiation therapy dose | 564 | 406 | $0 |
Insurance plans in this area (ZIP 34748)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | FL | 17003 | Destruction of 2-14 skin growths | 293 | 66 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | FL | |
| Physician Assistant | IL | |
| Nurse Practitioner | FL |
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