DAVID ANTHONY DE LA SIERRA (M.D.) – Family Medicine Physician, NPI 1316056369
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,103 FAMILY PRACTICE in GA
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Provider Addresses for DAVID ANTHONY DE LA SIERRA (M.D.)
P.O. BOX 28170
MACON, GA 312218170
Phone: (478) 254-5943
Fax: (478) 254-6093
Type: Mailing
528, South 8th Street, Griffin, Spalding County, Georgia, 30224, United States
GRIFFIN, GA 302244212
Phone: (770) 467-1224
Fax: (770) 467-1225
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $115.
Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Organogenesis Inc. ($71).
Total Amount
$115
General + Research + Ownership
Payments
5
Total payment records
General Amount
$115
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $71 |
| Next Science LLC | $23 |
| Smith+Nephew, Inc. | $21 |
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: 2005-11-02
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 |
|---|---|---|---|---|
| I20051102000583 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 612 | 75 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 542 | 26 | $0 |
| 97598 | Removal of tissue from wound, each additional 20.0 sq cm | 503 | 16 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 328 | 62 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 111 | 42 | $0 |
Insurance plans in this area (ZIP 31221)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | GA | 11042 | Removal of skin and tissue first 20 sq cm or less | 467 | 113 |
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