SETH MONROE PARK (PA) – Physician Assistant, NPI 1730650144
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SETH MONROE PARK (PA)
Baker Street Northeast, Covington, Newton County, Georgia, 30014, United States
COVINGTON, GA 300141405
Phone: (770) 788-0620
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 96 Open Payments records for all available years, with a total value of $2,164.
Total Amount is formed as General ($2,164) + Research ($0) + Ownership ($0) = $2,164.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Biotech, Inc. ($414).
Total Amount
$2,164
General + Research + Ownership
Payments
96
Total payment records
General Amount
$2,164
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $414 |
| ABBVIE INC. | $343 |
| Lilly USA, LLC | $327 |
| Novartis Pharmaceuticals Corporation | $208 |
| UCB, Inc. | $197 |
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: 2020-04-08
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 |
|---|---|---|---|---|
| I20200408004163 | I | Physician Assistant | 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 | 180 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 83 | 81 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 54 | 53 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 52 | 52 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 40 | 26 | $0 |
Insurance plans in this area (ZIP 30014)
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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 |
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