CHARLES JACOB DOUCHY (M.D.) – Dermatology Physician, NPI 1003808361
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 CHARLES JACOB DOUCHY (M.D.)
Pleasant Hill Road, Duluth, Gwinnett County, Georgia, 30044, United States
DULUTH, GA 300964807
Phone: (770) 814-8222
Fax: (678) 205-5111
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 449 Open Payments records for all available years, with a total value of $9,315.
Total Amount is formed as General ($9,315) + Research ($0) + Ownership ($0) = $9,315.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($2,069).
Total Amount
$9,315
General + Research + Ownership
Payments
449
Total payment records
General Amount
$9,315
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $2,069 |
| LEO Pharma Inc. | $1,719 |
| Dermavant Sciences, Inc. | $1,240 |
| Janssen Biotech, Inc. | $669 |
| E.R. Squibb & Sons, L.L.C. | $516 |
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: 2010-06-07
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 |
|---|---|---|---|---|
| I20100607000023 | I | Dermatology | GA | 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 | 4,170 | 574 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,121 | 898 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 856 | 674 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 803 | 504 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 673 | 529 | $0 |
Insurance plans in this area (ZIP 30096)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | GA | 17003 | Destruction of 2-14 skin growths | 2781 | 381 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Micrographic Dermatologic Surgery (Mds) | GA | |
| Physician Assistant | GA | |
| D E R M A T O L O G Y | GA | |
| Physician Assistant | NY | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| D E R M A T O L O G Y | GA | |
| D E R M A T O L O G Y | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA |
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