DR. CARLA GUSTOVICH (MD) – Dermatology Physician, NPI 1003981044
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for DR. CARLA GUSTOVICH (MD)
5805, Coit Road, Plano, Collin County, Texas, 75023, United States
SUITE 203
PLANO, TX 750936989
Phone: (972) 769-8180
Type: Mailing
13192 DALLAS PKWY STE 620
FRISCO, TX 750334248
Phone: (972) 668-3376
Fax: (972) 668-7546
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 208 Open Payments records for all available years, with a total value of $4,272.
Total Amount is formed as General ($4,272) + Research ($0) + Ownership ($0) = $4,272.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($1,070).
Total Amount
$4,272
General + Research + Ownership
Payments
208
Total payment records
General Amount
$4,272
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,070 |
| Janssen Biotech, Inc. | $511 |
| Regeneron Healthcare Solutions, Inc. | $397 |
| GENZYME CORPORATION | $218 |
| Amgen Inc. | $203 |
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: 2004-11-24
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 |
|---|---|---|---|---|
| I20041124000719 | I | Dermatology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 165 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 161 | 105 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 141 | 111 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 125 | 101 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 103 | 74 | $0 |
Insurance plans in this area (ZIP 75093)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | TX | 11101 | Biopsy of each additional growth of skin and/or tissue | 54 | 40 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX |
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