DR. JASON RODNEY SUSONG (MD) – MOHS-Micrographic Surgery Physician, NPI 1235302787
MOHS-Micrographic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
293 DERMATOLOGY in TN
Provider Addresses for DR. JASON RODNEY SUSONG (MD)
2158 NORTHGATE PARK LN STE 106
CHATTANOOGA, TN 374156911
Phone: (423) 888-3376
Type: Location
96th Medical Group, 307, Boatner Road, Okaloosa County, Florida, 32542, United States
STE 114
EGLIN AFB, FL 325421302
Phone: (850) 883-8257
Type: Mailing
Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States
CLEVELAND, OH 441951302
Phone: (216) 444-5725
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $177.
Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.
Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Lilly USA, LLC ($95).
Total Amount
$177
General + Research + Ownership
Payments
3
Total payment records
General Amount
$177
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $95 |
| Novartis Pharmaceuticals Corporation | $67 |
| LEO Pharma Inc. | $16 |
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: 2020-06-01
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 |
|---|---|---|---|---|
| I20190531002125 | I | Dermatology | OH | TBD |
| I20200601002929 | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 349 | 264 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 257 | 157 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 256 | 43 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 97 | 90 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 70 | 56 | $0 |
Insurance plans in this area (ZIP 37415)
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