DR. HEMEN PADHIAR (MD) – Family Medicine Physician, NPI 1740265099
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,103 FAMILY PRACTICE in GA
Provider Addresses for DR. HEMEN PADHIAR (MD)
Northside Forsyth Drive, Cumming, Forsyth County, Georgia, 30041, United States
CUMMING, GA 300416017
Phone: (770) 844-0877
Fax: (770) 844-0891
Type: Mailing
1400 NORTHSIDE FORSYTH DR STE 200
CUMMING, GA 300417668
Phone: (770) 898-8388
Fax: (770) 898-8389
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $1,284.
Total Amount is formed as General ($1,284) + Research ($0) + Ownership ($0) = $1,284.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($169).
Total Amount
$1,284
General + Research + Ownership
Payments
64
Total payment records
General Amount
$1,284
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $169 |
| ABBVIE INC. | $137 |
| Exact Sciences Corporation | $112 |
| Janssen Pharmaceuticals, Inc | $109 |
| Astellas Pharma US Inc | $95 |
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: 2005-06-16
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 |
|---|---|---|---|---|
| I20050616000306 | I | Family Practice | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 1,270 | 877 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 859 | 532 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 658 | 658 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 447 | 342 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 247 | 194 | $0 |
Insurance plans in this area (ZIP 30041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | FL | |
| Internal Medicine | MA | |
| Family Practice | MN | |
| Family Practice | GA | |
| - | CA | |
| Pain Management | GA | |
| Internal Medicine | MA | |
| - | OH | |
| Internal Medicine | MA | |
| Orthopedic Surgery | FL |
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