DR. MARIO KUMAR MARUTHUR (M.D.) – Dermatology Physician, NPI 1356738199
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
409 DERMATOLOGY in GA
Provider Addresses for DR. MARIO KUMAR MARUTHUR (M.D.)
1120 15TH ST
AUGUSTA, GA 309121059
Phone: (706) 721-8623
Fax: (706) 721-1459
Type: Location
1120 15TH ST STE BI1056
AUGUSTA, GA 309120004
Phone: (706) 721-3813
Type: Mailing
48 MEDICAL PARK DR E STE 458
BIRMINGHAM, AL 352353473
Phone: (205) 900-2000
Fax: (205) 838-4525
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $590.
Total Amount is formed as General ($590) + Research ($0) + Ownership ($0) = $590.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($112).
Total Amount
$590
General + Research + Ownership
Payments
27
Total payment records
General Amount
$590
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $112 |
| Organogenesis Inc. | $76 |
| Incyte Corporation | $75 |
| Amgen Inc. | $67 |
| Kerecis Limited | $55 |
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: 2021-05-21
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 |
|---|---|---|---|---|
| I20210521002140 | I | Dermatology | AL | 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 |
|---|---|---|---|---|
| 88332 | Pathology examination of specimen during surgery, each additional tissue block | 1,195 | 159 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 891 | 442 | $0 |
| Q4180 | Revita, per square centimeter | 520 | 27 | $0 |
| Q4229 | Cogenex amniotic membrane, per square centimeter | 516 | 29 | $0 |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 286 | 191 | $0 |
Insurance plans in this area (ZIP 30912)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | AL | |
| Physician Assistant | AL | |
| Nurse Practitioner | AL | |
| Physician Assistant | AL | |
| Physician Assistant | AL |
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