EVGENIYA TETERINA MOHAMMED (MD) – Dermatology Physician, NPI 1255865234
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
293 DERMATOLOGY in TN
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Provider Addresses for EVGENIYA TETERINA MOHAMMED (MD)
956, Court Avenue, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38103, United States
SUITE H314
MEMPHIS, TN 381032814
Phone:
Type: Mailing
Madison Avenue, Beale Street Historic District, Memphis, Shelby County, Tennessee, 38104, United States
SUITE 447
MEMPHIS, TN 381033438
Phone: (901) 448-5814
Type: Location
599 OAK RIDGE TPKE
OAK RIDGE, TN 378307177
Phone: (865) 482-2129
Fax: (865) 482-4036
Type: Mailing
800 OAK RIDGE TPKE STE A300
OAK RIDGE, TN 378306946
Phone: (865) 482-2129
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 123 Open Payments records for all available years, with a total value of $2,086.
Total Amount is formed as General ($2,086) + Research ($0) + Ownership ($0) = $2,086.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($611).
Total Amount
$2,086
General + Research + Ownership
Payments
123
Total payment records
General Amount
$2,086
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
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: 2021-07-27
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20210727001793 | 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 | 2,325 | 443 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 674 | 527 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 659 | 588 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 556 | 472 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 378 | 340 | $0 |
Insurance plans in this area (ZIP 38103)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| D E R M A T O L O G Y | TN | |
| Physician Assistant | TN | |
| Physician Assistant | TN | |
| Physician Assistant | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Micrographic Dermatologic Surgery (Mds) | TN | |
| Physician Assistant | TN | |
| - | TN |
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