DR. JESSICA BEARDEN DIETERT (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1548605769
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for DR. JESSICA BEARDEN DIETERT (M.D.)
4419 FRONTIER TRL STE 110
AUSTIN, TX 787451567
Phone: (512) 444-7208
Fax: (512) 444-2343
Type: Mailing
14008 SHADOWGLEN BLVD STE 200
MANOR, TX 786533406
Phone: (512) 444-7208
Type: Location
2201 ONION CREEK PKWY
AUSTIN, TX 787471609
Phone: (512) 649-3376
Fax: (512) 572-5192
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 115 Open Payments records for all available years, with a total value of $2,340.
Total Amount is formed as General ($2,340) + Research ($0) + Ownership ($0) = $2,340.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: ABBVIE INC. ($607).
Total Amount
$2,340
General + Research + Ownership
Payments
115
Total payment records
General Amount
$2,340
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $607 |
| Galderma Laboratories, L.P. | $237 |
| Janssen Biotech, Inc. | $216 |
| Amgen Inc. | $112 |
| Regeneron Healthcare Solutions, Inc. | $78 |
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: 2018-08-16
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 |
|---|---|---|---|---|
| I20180816002543 | I | Micrographic Dermatologic Surgery (Mds) | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 184 | 144 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 157 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 110 | 75 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 95 | 65 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 73 | 53 | $0 |
Insurance plans in this area (ZIP 78745)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Micrographic Dermatologic Surgery (Mds) | WI | |
| D E R M A T O L O G Y | TX | |
| - | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | LA | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | MI | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | TX |
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