DR. LESLIE C GRAY (M.D.) – Specialist, NPI 1720082084
Specialist
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. LESLIE C GRAY (M.D.)
Dermatology Center of Atlanta, 9900, Medlock Bridge Road, Duluth, Fulton, Georgia, 30097, United States
DULUTH, GA 300972017
Phone: (770) 497-0699
Fax: (770) 497-0388
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 100 Open Payments records for all available years, with a total value of $19,234.
Total Amount is formed as General ($19,234) + Research ($0) + Ownership ($0) = $19,234.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($17,300).
Total Amount
$19,234
General + Research + Ownership
Payments
100
Total payment records
General Amount
$19,234
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $17,300 |
| Allergan, Inc. | $817 |
| Merz North America, Inc. | $475 |
| Dermavant Sciences, Inc. | $167 |
| PFIZER INC. | $132 |
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: 2005-07-12
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 |
|---|---|---|---|---|
| I20050712000567 | 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 | 225 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 104 | 91 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 74 | 64 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 48 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 36 | $0 |
Insurance plans in this area (ZIP 30097)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| D E R M A T O L O G Y | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA |
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