MS. MARY REGINA DORTENZO (RN-ANP) – Adult Health Nurse Practitioner, NPI 1215105085
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,299 NURSE PRACTITIONER in SC
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Provider Addresses for MS. MARY REGINA DORTENZO (RN-ANP)
2030, Powers Ferry Road Southeast, Atlanta, Georgia, 30339, United States
STE 120
ATLANTA, GA 303395016
Phone: (803) 648-4224
Fax: (803) 641-7600
Type: Mailing
216, Edgefield Avenue Northwest, Aiken, Aiken County, South Carolina, 29801, United States
AIKEN, SC 298013910
Phone: (803) 648-4224
Fax: (803) 641-7600
Type: Location
176 MCSWAIN DR
WEST COLUMBIA, SC 291694825
Phone: (803) 767-4465
Fax: (803) 767-4120
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $597.
Total Amount is formed as General ($597) + Research ($0) + Ownership ($0) = $597.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Organogenesis Inc. ($298).
Total Amount
$597
General + Research + Ownership
Payments
20
Total payment records
General Amount
$597
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $298 |
| Kerecis Limited | $84 |
| Urgo Medical North America, LLC | $39 |
| Next Science LLC | $34 |
| Medline Industries LP | $31 |
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: 2010-06-25
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 |
|---|---|---|---|---|
| I20100625000084 | I | Nurse Practitioner | SC | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 756 | 167 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 428 | 153 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 405 | 130 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 347 | 36 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 152 | 77 | $0 |
Insurance plans in this area (ZIP 30339)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | SC | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Family Practice | SC | |
| Physician Assistant | SC | |
| Emergency Medicine, General Practice, Family Practice | SC | |
| Internal Medicine | MI | |
| Internal Medicine | SC | |
| Family Practice, General Practice | SC |
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