EDWARD A DIPRETA (MD) – Dermatology Physician, NPI 1689656720

EDWARD A DIPRETA (MD) is a healthcare provider. based in Brunswick, Georgia. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 052707 (GA). The NPI Number for EDWARD A DIPRETA (MD) is 1689656720

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD A DIPRETA (MD)
NPI
1689656720
Phone
(912) 265-2142
Address
3008 E PARK AVE
Enumeration Date
15 November 2005
Last Update Date
13 February 2008

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
8664033376
Graduation Year
1993 (33 years ago)
PAC ID
9133182355
Group Practice PAC ID
3072691971
Professional Enrollment ID
I20041109000624
Address ID
GA315202184BR114XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

409 DERMATOLOGY in GA

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Provider Addresses for EDWARD A DIPRETA (MD)

  • 3008, East Park Avenue, Brunswick, Glynn County, Georgia, 31520, United States

    BRUNSWICK, GA 315204241

    Phone: (912) 265-2142

    Fax: (912) 265-0530

    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 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($36).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-11-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041109000624IDermatologyGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks457390$0
17003Destruction of precancer skin growth, 2-14 growths40680$0
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks343282$0
12032Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm285242$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks190134$0
View full utilization report →

Insurance plans in this area (ZIP 31520)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072691971View full group profile
NameSpecialtyState
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
Physician AssistantMO

Reviews

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Frequently asked questions

Is there an official ID for EDWARD A DIPRETA (MD) in U.S. healthcare records?
The official identifier for EDWARD A DIPRETA (MD) is NPI 1689656720.
Is there an active status for EDWARD A DIPRETA (MD)?
For scheduling context, EDWARD A DIPRETA (MD) is shown as active in the registry.
What kind of doctor is EDWARD A DIPRETA (MD)?
EDWARD A DIPRETA (MD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for EDWARD A DIPRETA (MD)?
Travel planning: use Brunswick, Georgia as the reference point for EDWARD A DIPRETA (MD), then confirm.
Can I trust this NPI listing for EDWARD A DIPRETA (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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