PETROS KONOFAOS (M.D., PHD) – Plastic and Reconstructive Surgery Physician, NPI 1720364367
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
142 PLASTIC AND RECONSTRUCTIVE SURGERY in TN
Provider Addresses for PETROS KONOFAOS (M.D., PHD)
1407 UNION AVE
SUITE 700
MEMPHIS, TN 381043627
Phone: (901) 866-8525
Fax: (901) 302-2525
Type: Mailing
1068 CRESTHAVEN RD
SUITE 500
MEMPHIS, TN 381190800
Phone: (901) 866-8525
Fax: (901) 302-2525
Type: Location
PO BOX 650859
DEPT. 710
DALLAS, TX 752650859
Phone: (409) 772-2222
Type: Mailing
1005 HARBORSIDE DR
5TH FLOOR
GALVESTON, TX 775550001
Phone: (409) 772-8115
Fax: (409) 772-1872
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $1,905.
Total Amount is formed as General ($1,905) + Research ($0) + Ownership ($0) = $1,905.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: ABBVIE INC. ($545).
Total Amount
$1,905
General + Research + Ownership
Payments
25
Total payment records
General Amount
$1,905
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $545 |
| Alafair Biosciences, Inc. | $203 |
| Musculoskeletal Transplant Foundation Inc. | $196 |
| AXOGEN | $172 |
| PolyNovo North America LLC | $143 |
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: 2022-12-27
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 |
|---|---|---|---|---|
| I20140805002773 | I | Plastic And Reconstructive Surgery | TN | TBD |
| I20221227000510 | I | Plastic And Reconstructive Surgery | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| - | NY | |
| Sleep Medicine, Critical Care (Intensivists) | TX | |
| Surgical Oncology | NY | |
| General Surgery | TN | |
| General Surgery | GA | |
| U R O L O G Y | NY | |
| Nurse Practitioner | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX |
Reviews
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