DR. EDWARD MILAN PRODANOVIC (MD) – Dermatology Physician, NPI 1306067640
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for DR. EDWARD MILAN PRODANOVIC (MD)
350 KINGWOOD MEDICAL DR STE 220
KINGWOOD, TX 773396406
Phone: (346) 888-4400
Fax: (346) 888-4401
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 747-8688
Fax: (888) 665-8309
Type: Mailing
4901 FOREST PARK AVE
DIV IM DERMATOLOGY, STE 502
SAINT LOUIS, MO 631081495
Phone: (314) 747-8688
Fax: (888) 665-8309
Type: Location
305, Greenbriar Drive, Spring Valley Acres, Dothan, Houston County, Alabama, 36301, United States
HOUSTON, TX 770985244
Phone: (346) 888-4400
Fax: (346) 888-4401
Type: Mailing
725 S DOBSON RD
CHANDLER, AZ 852245680
Phone: (480) 899-7546
Fax: (480) 899-7599
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 356 Open Payments records for all available years, with a total value of $5,984.
Total Amount is formed as General ($5,984) + Research ($0) + Ownership ($0) = $5,984.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($823).
Total Amount
$5,984
General + Research + Ownership
Payments
356
Total payment records
General Amount
$5,984
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $823 |
| ABBVIE INC. | $740 |
| Incyte Corporation | $522 |
| UCB, Inc. | $514 |
| Novartis Pharmaceuticals Corporation | $327 |
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: 2025-09-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20180618000707 | I | Dermatology | GU | TBD |
| I20200804001128 | I | Dermatology | TX | TBD |
| I20250807001843 | I | Dermatology | MO | TBD |
| I20250902002971 | I | Dermatology | IL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 445 | 289 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 411 | 82 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 149 | 121 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 138 | 119 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 112 | 99 | $0 |
Insurance plans in this area (ZIP 77339)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | VA | 17003 | Destruction of 2-14 skin growths | 3335 | 409 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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