DR. PAOLA BONACCORSI (MD) – Dermatology Physician, NPI 1447437322
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
409 DERMATOLOGY in GA
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Provider Addresses for DR. PAOLA BONACCORSI (MD)
10680, Medlock Bridge Road, Johns Creek, Fulton, Georgia, 30097, United States
STE 204
JOHNS CREEK, GA 300978420
Phone: (470) 282-5729
Type: Mailing
6470 E JOHNS XING STE 200
JOHNS CREEK, GA 300971539
Phone: (470) 282-5729
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $1,249.
Total Amount is formed as General ($1,249) + Research ($0) + Ownership ($0) = $1,249.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($261).
Total Amount
$1,249
General + Research + Ownership
Payments
45
Total payment records
General Amount
$1,249
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $261 |
| Janssen Biotech, Inc. | $255 |
| GENZYME CORPORATION | $160 |
| SANOFI-AVENTIS U.S. LLC | $95 |
| PFIZER INC. | $94 |
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: 2009-12-22
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 |
|---|---|---|---|---|
| I20091222000439 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 743 | 122 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 310 | 232 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 241 | 167 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 222 | 171 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 188 | 171 | $0 |
Insurance plans in this area (ZIP 30097)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | GA | 17003 | Destruction of 2-14 skin growths | 364 | 79 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | GA | |
| Physician Assistant | SC | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | SC | |
| Micrographic Dermatologic Surgery (Mds), Dermatology, General Surgery | SC | |
| Physician Assistant | SC | |
| Physician Assistant | SC | |
| D E R M A T O L O G Y | SC | |
| Physician Assistant | SC | |
| Physician Assistant | SC | |
| Physician Assistant | SC |
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