JUAN PABLO ESTRADA – Dermatology Physician, NPI 1871028878
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
409 DERMATOLOGY in GA
Provider Addresses for JUAN PABLO ESTRADA
677 Church St NE
Wellstar Kennestone Regional Medical Center GME Office
Marietta, GA 300601101
Phone: (770) 793-7742
Type: Location
1725 Medical Center Pkwy Ste 300
Murfreesboro, TN 371292250
Phone: (615) 893-4100
Fax: (615) 893-2166
Type: Location
677 CHURCH ST NE
WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER GME OFFICE
MARIETTA, GA 300601101
Phone: (770) 793-7742
Type: Mailing
5141 VIRGINIA WAY STE 350
BRENTWOOD, TN 370272319
Phone: (630) 519-6543
Type: Mailing
1020 MCARTHUR ST
MANCHESTER, TN 373552453
Phone: (931) 954-1400
Fax: (931) 954-1550
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 98 Open Payments records for all available years, with a total value of $1,845.
Total Amount is formed as General ($1,845) + Research ($0) + Ownership ($0) = $1,845.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($299).
Total Amount
$1,845
General + Research + Ownership
Payments
98
Total payment records
General Amount
$1,845
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $299 |
| ABBVIE INC. | $246 |
| Lilly USA, LLC | $158 |
| E.R. Squibb & Sons, L.L.C. | $156 |
| GENZYME CORPORATION | $147 |
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: 2024-02-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220620000980 | I | Dermatology | TN | TBD |
| I20240215000797 | I | Dermatology | TX | 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 | 1,919 | 237 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 525 | 307 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 469 | 294 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 323 | 235 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 203 | 163 | $0 |
Insurance plans in this area (ZIP 30060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | KY | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX |
Reviews
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