DR. CHETHANA CHANDRUPATLA GOTTAM (M.D.) – Dermatology Physician, NPI 1669664009
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DERMATOLOGY in MI
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Provider Addresses for DR. CHETHANA CHANDRUPATLA GOTTAM (M.D.)
43900, Garfield Road, Clinton Township, Macomb County, Michigan, 48038, United States
STE 100
CLINTON TOWNSHIP, MI 480381128
Phone: (586) 286-0112
Fax: (586) 286-2702
Type: Mailing
Woodward Avenue, Berkley, Oakland County, Michigan, 48070, United States
BERKLEY, MI 48072
Phone: (248) 581-0333
Fax: (248) 876-9144
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 206 Open Payments records for all available years, with a total value of $3,696.
Total Amount is formed as General ($3,696) + Research ($0) + Ownership ($0) = $3,696.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($443).
Total Amount
$3,696
General + Research + Ownership
Payments
206
Total payment records
General Amount
$3,696
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $443 |
| Novartis Pharmaceuticals Corporation | $400 |
| ABBVIE INC. | $341 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $236 |
| GENZYME CORPORATION | $223 |
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: 2015-08-06
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 |
|---|---|---|---|---|
| I20130725000537 | I | Dermatology | FL | TBD |
| I20150806011453 | I | Dermatology | MI | 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 | 485 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 379 | 282 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 253 | 164 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 244 | 166 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 166 | 136 | $0 |
Insurance plans in this area (ZIP 48038)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MI | 11101 | Biopsy of each additional growth of skin and/or tissue | 76 | 58 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| D E R M A T O L O G Y | DC | |
| D E R M A T O L O G Y | WA | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | PA | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI |
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