MR. SIDNEY P SMITH (M.D) – MOHS-Micrographic Surgery Physician, NPI 1104817410
MOHS-Micrographic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
409 DERMATOLOGY in GA
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Provider Addresses for MR. SIDNEY P SMITH (M.D)
900, Mohawk Street, Savannah, Chatham County, Georgia, 31419, United States
SAVANNAH, GA 314191780
Phone: (912) 925-0067
Fax: (912) 927-0267
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 132 Open Payments records for all available years, with a total value of $3,422.
Total Amount is formed as General ($3,422) + Research ($0) + Ownership ($0) = $3,422.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ConvaTec Inc. ($916).
Total Amount
$3,422
General + Research + Ownership
Payments
132
Total payment records
General Amount
$3,422
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ConvaTec Inc. | $916 |
| PFIZER INC. | $511 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $237 |
| Regeneron Healthcare Solutions, Inc. | $232 |
| E.R. Squibb & Sons, L.L.C. | $163 |
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: 2010-08-24
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 |
|---|---|---|---|---|
| I20050824000961 | I | Dermatology | SC | TBD |
| I20100824000676 | 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 |
|---|---|---|---|---|
| 11103 | Biopsy of related skin growth, each additional growth | 1,310 | 532 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,069 | 940 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 1,066 | 944 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 931 | 214 | $0 |
| Q4188 | Amnioarmor, per square centimeter | 891 | 72 | $0 |
Insurance plans in this area (ZIP 31419)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Physician Assistant | SC | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| D E R M A T O L O G Y | SC | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | GA | |
| Physician Assistant | SC | |
| Cardiac Surgery, Peripheral Vascular Disease, Thoracic Surgery, Vascular Surgery, Thoracic Surgery, Vascular Surgery, Cardiovascular Disease (Cardiology) | GA |
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