DR. KALPESH MISTRY (MD) – Family Medicine Physician, NPI 1740717669
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
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Provider Addresses for DR. KALPESH MISTRY (MD)
Stephens County Hospital, 163, Hospital Drive, Toccoa, Stephens County, Georgia, 30577, United States
TOCCOA, GA 305776820
Phone: (706) 282-4200
Type: Mailing
115, Rock Quarry Road, Toccoa, Stephens County, Georgia, 30577, United States
TOCCOA, GA 305778734
Phone: (706) 282-5815
Fax: (706) 898-5716
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $778.
Total Amount is formed as General ($778) + Research ($0) + Ownership ($0) = $778.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Next Science LLC ($336).
Total Amount
$778
General + Research + Ownership
Payments
29
Total payment records
General Amount
$778
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Next Science LLC | $336 |
| Smith+Nephew, Inc. | $183 |
| Nuo Therapeutics | $33 |
| Boston Scientific Corporation | $32 |
| Organogenesis Inc. | $27 |
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: 2020-07-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200709000300 | 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 |
|---|---|---|---|---|
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 488 | 80 | $0 |
| 97598 | Removal of tissue from wound, each additional 20.0 sq cm | 289 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 242 | 171 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 160 | 18 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 81 | 25 | $0 |
Insurance plans in this area (ZIP 30577)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Nurse Practitioner | GA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | GA | |
| Family Practice | GA | |
| General Surgery | GA | |
| - | NC | |
| Emergency Medicine | GA | |
| Physician Assistant | GA | |
| - | GA | |
| Orthopedic Surgery | GA |
Reviews
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