DR. JEFFREY BUBLEY (MD) – MOHS-Micrographic Surgery Physician, NPI 1376002675
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
409 DERMATOLOGY in GA
Provider Addresses for DR. JEFFREY BUBLEY (MD)
934 PONCE DE LEON AVE NE APT 2B
ATLANTA, GA 303064234
Phone:
Type: Mailing
49 JESSE HILL JR DR SE
ATLANTA, GA 303033049
Phone: (404) 778-7777
Type: Location
6700 WEST LOOP SOUTH
SUITE #500
BELLAIRE, TX 77401
Phone: (404) 778-7777
Type: Location
9240 N SAM HOUSTON PKWY E STE 201
HUMBLE, TX 773965141
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $2,346.
Total Amount is formed as General ($2,346) + Research ($0) + Ownership ($0) = $2,346.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($626).
Total Amount
$2,346
General + Research + Ownership
Payments
25
Total payment records
General Amount
$2,346
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $626 |
| Incyte Corporation | $525 |
| Arcutis Biotherapeutics, Inc. | $246 |
| ABBVIE INC. | $125 |
| Novartis Pharmaceuticals Corporation | $124 |
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: 2023-09-06
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 |
|---|---|---|---|---|
| I20230906001338 | I | Dermatology | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30306)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX |
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