PEZHMAN SHOURESHI (D.O.) – Dermatology Physician, NPI 1093036105
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
293 DERMATOLOGY in TN
Provider Addresses for PEZHMAN SHOURESHI (D.O.)
537 STONECREST PARKWAY
SUITE 200
SMYRNA, TN 37167
Phone: (615) 904-2010
Fax: (615) 904-5285
Type: Location
741 President Pl Ste 140
Smyrna, TN 371676808
Phone: (615) 905-8083
Type: Location
990 ELLISTON WAY STE 101
THOMPSONS STATION, TN 371795482
Phone: (615) 905-8083
Type: Location
515A HIGHLAND TERRACE
MURFREESBORO, TN 37130
Phone: (540) 951-1111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 143 Open Payments records for all available years, with a total value of $39,688.
Total Amount is formed as General ($24,387) + Research ($15,301) + Ownership ($0) = $39,688.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($22,177).
Total Amount
$39,688
General + Research + Ownership
Payments
143
Total payment records
General Amount
$24,387
General payments
Research Amount
$15,301
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $22,177 |
| Eli Lilly and Company | $15,301 |
| GENZYME CORPORATION | $330 |
| Janssen Biotech, Inc. | $154 |
| Novartis Pharmaceuticals Corporation | $110 |
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: 2015-06-23
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20150623000545 | I | Dermatology | TN | 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 | 506 | 120 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 230 | 154 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 207 | 157 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 172 | 124 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 147 | 124 | $0 |
Insurance plans in this area (ZIP 37167)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| D E R M A T O L O G Y | TN | |
| D E R M A T O L O G Y | TN |
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