DR. VLATKA AGNETTA (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1053602128
MOHS-Micrographic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
293 DERMATOLOGY in TN
Provider Addresses for DR. VLATKA AGNETTA (M.D.)
2358 LIFESTYLE WAY STE 212
CHATTANOOGA, TN 374214904
Phone: (423) 521-1100
Fax: (423) 521-1200
Type: Location
7160 BROCKTON AVE
RIVERSIDE, CA 925062620
Phone: (951) 782-3818
Fax: (951) 328-9758
Type: Mailing
4037 NW 86TH TER FL 4
GAINESVILLE, FL 326069277
Phone: (352) 594-1500
Fax: (352) 594-1926
Type: Location
136 BATTLEFIELD CROSSING CT
RINGGOLD, GA 307365176
Phone: (706) 277-7311
Fax: (706) 529-7210
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 218 Open Payments records for all available years, with a total value of $4,135.
Total Amount is formed as General ($4,135) + Research ($0) + Ownership ($0) = $4,135.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($824).
Total Amount
$4,135
General + Research + Ownership
Payments
218
Total payment records
General Amount
$4,135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-03-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20140730002820 | I | Dermatology | CA | TBD |
| I20200713001760 | I | Dermatology | TN | TBD |
| I20210329002500 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 421 | 282 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 230 | 133 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 92 | 82 | $0 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 72 | 63 | $0 |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 67 | 44 | $0 |
Insurance plans in this area (ZIP 37421)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | CA | 71010 | X-ray of chest, 1 view, front | 33 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | TN | |
| Emergency Medicine | TN | |
| Nurse Practitioner | TN | |
| Emergency Medicine | TN | |
| Nurse Practitioner | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine | ME | |
| Emergency Medicine | TN |
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