DR. FREDERICK LETOIS JR. DURDEN (MD) – Plastic Surgery Physician, NPI 1073799490

DR. FREDERICK LETOIS JR. DURDEN (MD) is a healthcare provider. based in Newnan, Georgia. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. 35097442 (OH). The NPI Number for DR. FREDERICK LETOIS JR. DURDEN (MD) is 1073799490

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. FREDERICK LETOIS JR. DURDEN (MD)
NPI
1073799490
Phone
(770) 400-7620
Address
600 CELEBRATE LIFE PKWY
Enumeration Date
16 January 2008
Last Update Date
27 April 2026

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
7704006080
Graduation Year
2004 (22 years ago)
PAC ID
7911172465
Group Practice PAC ID
4880841212
Professional Enrollment ID
I20151027002726
Address ID
GA302658001NE600XXPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:18State licenses:3Digital endpointsOther names

185 PLASTIC AND RECONSTRUCTIVE SURGERY in GA

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Provider Addresses for DR. FREDERICK LETOIS JR. DURDEN (MD)

  • Cancer Treatment Centers of America at Southeastern Regional Medical Center, 600, Celebrate Life Parkway, Newnan, Coweta, Georgia, 30265, United States

    SUITE 350

    NEWNAN, GA 302658001

    Phone: (770) 400-7620

    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 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-09-29 • Largest payer in this snapshot: Smith+Nephew, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$24
View all Open Payments →|Open Payments Risk Radar →

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: 2015-10-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151027002726IPlastic And Reconstructive SurgeryGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1412$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 30265)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880841212View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. FREDERICK LETOIS JR. DURDEN (MD)'s NPI?
Yes. DR. FREDERICK LETOIS JR. DURDEN (MD) is listed with NPI 1073799490 in the public NPI dataset.
Does CMS list DR. FREDERICK LETOIS JR. DURDEN (MD) as active?
Yes — DR. FREDERICK LETOIS JR. DURDEN (MD) is active in the NPI listing used on this page.
What is DR. FREDERICK LETOIS JR. DURDEN (MD)'s primary classification?
Plastic Surgery Physician is the headline specialty for DR. FREDERICK LETOIS JR. DURDEN (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. FREDERICK LETOIS JR. DURDEN (MD) on a map?
Expect Newnan, Georgia as a primary anchor for DR. FREDERICK LETOIS JR. DURDEN (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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