DR. SHAHROKH C BAGHERI (M.D. D.M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1154325587
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
67 MAXILLOFACIAL SURGERY in GA
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Provider Addresses for DR. SHAHROKH C BAGHERI (M.D. D.M.D.)
Creative Dentistry, 1000, Johnson Ferry Road Northeast, Mount Bethel, Marietta, Georgia, 30068, United States
BLDG H
MARIETTA, GA 300685518
Phone: (770) 977-0364
Fax: (678) 819-6531
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 21 Open Payments records for all available years, with a total value of $1,243.
Total Amount is formed as General ($1,243) + Research ($0) + Ownership ($0) = $1,243.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Straumann USA LLC ($937).
Total Amount
$1,243
General + Research + Ownership
Payments
21
Total payment records
General Amount
$1,243
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Straumann USA LLC | $937 |
| Nobel Biocare USA | $146 |
| Kerr Corporation | $47 |
| ABBVIE INC. | $33 |
| BioHorizons Implant Systems Inc. | $29 |
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: 2004-09-15
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 |
|---|---|---|---|---|
| I20040915000213 | I | Maxillofacial Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| H O S P I T A L I S T | GA | |
| P S Y C H I A T R Y | GA | |
| - | GA | |
| - | GA | |
| Hospice/Palliative Care, Hospitalist, Internal Medicine | GA | |
| Hospitalist, Internal Medicine | GA | |
| Hospitalist, Internal Medicine | TN | |
| - | GA | |
| H O S P I T A L I S T | GA |
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