DR. SIMON ROBERT COFRANCESCO (D.O.) – Gastroenterology Physician, NPI 1396795241
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
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Provider Addresses for DR. SIMON ROBERT COFRANCESCO (D.O.)
Cumming Park & Ride, Deputy Bill Cantrell Memorial Road, Forsyth County, Georgia, 30041, United States
SUITE 290
CUMMING, GA 300403005
Phone: (404) 446-0600
Fax: (404) 446-0601
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $14,800.
Total Amount is formed as General ($14,800) + Research ($0) + Ownership ($0) = $14,800.
Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Olympus America Inc. ($13,952).
Total Amount
$14,800
General + Research + Ownership
Payments
16
Total payment records
General Amount
$14,800
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Olympus America Inc. | $13,952 |
| ABBVIE INC. | $788 |
| Boston Scientific Corporation | $27 |
| PFIZER INC. | $18 |
| Braintree Laboratories, Inc. | $15 |
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: 2011-09-26
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 |
|---|---|---|---|---|
| I20110926000075 | 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 | 440 | 306 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 127 | 127 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 125 | 122 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 115 | 113 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 96 | 95 | $0 |
Insurance plans in this area (ZIP 30040)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | GA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 104 | 101 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | GA | |
| Gastroenterology, Internal Medicine | GA | |
| - | GA | |
| Gastroenterology, Internal Medicine | GA | |
| P A T H O L O G Y | UT | |
| G A S T R O E N T E R O L O G Y | GA |
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