MARIA LISSETTE PACHECO (DPM) – Podiatrist, NPI 1336481589
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
432 PODIATRY in GA
Provider Addresses for MARIA LISSETTE PACHECO (DPM)
900 CIRCLE 75 PKWY SE
SUITE 900
ATLANTA, GA 303393035
Phone: (678) 426-2171
Fax: (404) 446-1957
Type: Mailing
1432 BROADRICK DR
DALTON, GA 30720
Phone: (706) 259-6882
Fax: (706) 259-3786
Type: Location
1039 EXECUTIVE DR STE 102
HIXSON, TN 373437900
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $391.
Total Amount is formed as General ($391) + Research ($0) + Ownership ($0) = $391.
Last reported payment date: 2024-12-01 • Largest payer in this snapshot: Smoky Mountain Surgical Llc ($136).
Total Amount
$391
General + Research + Ownership
Payments
12
Total payment records
General Amount
$391
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smoky Mountain Surgical Llc | $136 |
| Smith+Nephew, Inc. | $87 |
| ZIMVIE INC. | $73 |
| ConvaTec Inc. | $28 |
| Kerecis Limited | $27 |
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: 2016-10-03
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 |
|---|---|---|---|---|
| I20161003000668 | I | Podiatry | TN | 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 | 271 | 139 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 254 | 103 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 205 | 205 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 117 | 82 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 71 | 31 | $0 |
Insurance plans in this area (ZIP 30339)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | GA | 11720 | Removal of tissue from 1 to 5 finger or toe nails | 111 | 77 |
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