GATHLINE ETIENNE (MD) – Ophthalmology Physician, NPI 1366602005
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
570 OPHTHALMOLOGY in GA
Provider Addresses for GATHLINE ETIENNE (MD)
1741 NEWNAN CROSSING BLVD E STE G
NEWNAN, GA 302656601
Phone: (678) 633-3500
Type: Mailing
1741 Newnan Crossing Blvd E Ste G
Newnan, GA 302656601
Phone: (678) 633-3500
Type: Location
2500 HOSPITAL BLVD STE 440
ROSWELL, GA 300764919
Phone: (770) 663-4649
Fax: (770) 663-3930
Type: Mailing
3000 HOSPITAL BLVD
ROSWELL, GA 300764915
Phone: (770) 644-1570
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $11,636.
Total Amount is formed as General ($11,636) + Research ($0) + Ownership ($0) = $11,636.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: ABBVIE INC. ($5,903).
Total Amount
$11,636
General + Research + Ownership
Payments
66
Total payment records
General Amount
$11,636
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $5,903 |
| Alexion Pharmaceuticals, Inc. | $3,825 |
| ARGENX US, INC. | $1,206 |
| Novartis Pharmaceuticals Corporation | $150 |
| UCB, Inc. | $62 |
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: 2026-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (889 days ago).
Enrollment records
6
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20120815000141 | I | Neurology | FL | TBD |
| I20131204002085 | I | Neurology | GA | 2023-12-31 |
| I20200325001588 | I | Neurology | MI | TBD |
| I20240918001660 | I | Neurology | WI | TBD |
| I20250603003188 | I | Neurology | IL | TBD |
| I20260219000734 | I | Neurology | OK | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 12,200 | 24 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 222 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 171 | 143 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 126 | 20 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 118 | 53 | $0 |
Insurance plans in this area (ZIP 30265)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | GA | 92134 | Diagnostic imaging of retina | 60 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Cardiovascular Disease (Cardiology) | VA | |
| Thoracic Surgery, Cardiac Surgery | MI | |
| N E U R O L O G Y | MI | |
| Physical Medicine And Rehabilitation | MI | |
| Hospitalist, Internal Medicine | MI | |
| - | MI | |
| P S Y C H I A T R Y | OH | |
| Internal Medicine, Geriatric Medicine | MI | |
| Sleep Medicine, Critical Care (Intensivists), Pulmonary Disease | MI | |
| Physician Assistant | MI |
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