DR. VETRA ANETE GIPSON (MD) – Plastic Surgery Physician, NPI 1528068061
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
473 PLASTIC AND RECONSTRUCTIVE SURGERY in FL
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Provider Addresses for DR. VETRA ANETE GIPSON (MD)
4480 S COBB DR SE STE H
BOX 323
SMYRNA, GA 300806984
Phone: (404) 805-5535
Fax: (866) 935-5995
Type: Mailing
Southwest 160th Avenue, Miramar, Broward County, Florida, 33027-4145, United States
SUITE 250
MIRAMAR, FL 330276308
Phone: (305) 866-9951
Fax: (877) 284-8933
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Smith+Nephew, Inc. ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
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 |
|---|---|
| Smith+Nephew, Inc. | $30 |
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: 2011-12-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
1
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 |
|---|---|---|---|---|
| I20111220000215 | I | Plastic And Reconstructive Surgery | TN | 2023-12-31 |
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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 550 | 199 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 533 | 184 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 269 | 143 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 259 | 121 | $0 |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 183 | 50 | $0 |
Insurance plans in this area (ZIP 30080)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PLASTIC AND RECONSTRUCTIVE SURGERY | FL | 11042 | Removal of skin and tissue first 20 sq cm or less | 226 | 117 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Family Practice, Peripheral Vascular Disease | NJ | |
| Family Practice, Peripheral Vascular Disease | NJ | |
| Family Practice | KY | |
| Peripheral Vascular Disease, General Surgery, Family Practice | FL | |
| - | VA | |
| - | FL | |
| Nurse Practitioner | NV | |
| Obstetrics/Gynecology, Family Practice | MN | |
| General Surgery | IA | |
| - | MS |
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