PRITI PANDYA (MD) – Gastroenterology Physician, NPI 1316910615
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
524 GASTROENTEROLOGY in GA
Provider Addresses for PRITI PANDYA (MD)
4441 ATLANTA RD SE STE 204
SMYRNA, GA 30080
Phone: (678) 741-5000
Fax: (770) 739-2318
Type: Location
Canton Road Northeast, Powell Station, Marietta, Cobb, Georgia, 30066, United States
MARIETTA, GA 300608949
Phone: (678) 741-5000
Fax: (678) 819-4280
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 $565.
Total Amount is formed as General ($565) + Research ($0) + Ownership ($0) = $565.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($195).
Total Amount
$565
General + Research + Ownership
Payments
20
Total payment records
General Amount
$565
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $195 |
| GENZYME CORPORATION | $106 |
| Regeneron Healthcare Solutions, Inc. | $65 |
| Janssen Biotech, Inc. | $39 |
| Celgene Corporation | $38 |
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: 2004-02-09
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 |
|---|---|---|---|---|
| I20040209000595 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 276 | 183 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 90 | 90 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 73 | 73 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 63 | 37 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 54 | 54 | $0 |
Insurance plans in this area (ZIP 30080)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | GA | |
| Internal Medicine, Gastroenterology | NV | |
| Nurse Practitioner | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| G A S T R O E N T E R O L O G Y | GA | |
| Internal Medicine, Gastroenterology | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| Internal Medicine, Gastroenterology | NY | |
| Physician Assistant | GA |
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