MUTINHIMA ROTH MOYO (MD) – Surgery Physician, NPI 1497763015
Surgery Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,092 GENERAL SURGERY in GA
Provider Addresses for MUTINHIMA ROTH MOYO (MD)
55 Whitcher St NE Ste 130
Marietta, GA 300601156
Phone: (770) 428-0462
Fax: (770) 427-8001
Type: Location
95, Collier Road Northwest, A, Atlanta, Fulton County, Georgia, 30309, United States
SUITE 6500
ATLANTA, GA 303091796
Phone: (404) 351-5959
Type: Mailing
902 N 7TH ST
CORDELE, GA 310153234
Phone: (229) 276-3100
Type: Location
95 Collier Rd NW
Suite 6500
Atlanta, GA 303091796
Phone: (404) 351-5959
Type: Location
305 W Jackson St Ste 300
Carbondale, IL 629011474
Phone: (618) 457-3006
Type: Location
55 WHITCHER ST NE STE 130
MARIETTA, GA 300601156
Phone: (770) 428-0462
Fax: (770) 427-8001
Type: Mailing
300, West Jackson Street, Carbondale, Jackson County, Illinois, 62901, United States
CARBONDALE, IL 629011474
Phone: (618) 457-3006
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $532.
Total Amount is formed as General ($532) + Research ($0) + Ownership ($0) = $532.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Davol Inc. ($175).
Total Amount
$532
General + Research + Ownership
Payments
10
Total payment records
General Amount
$532
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $175 |
| Ethicon US, LLC | $124 |
| Zimmer Biomet Holdings, Inc. | $123 |
| Smith+Nephew, Inc. | $63 |
| Inspire Medical Systems, Inc. | $32 |
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: 2006-09-11
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 |
|---|---|---|---|---|
| I20060911000536 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 45 | 37 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 37 | 37 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 28 | 25 | $0 |
Insurance plans in this area (ZIP 30060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
Reviews
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