Individual provider Active NPI

David John Casper, M.D.

  • Dermatology Physician
  • The Villages, FL
National Provider Identifier
1164614004
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME 108772 Issued in FL
Practice address
8620A E County Road 466
The Villages, FL 32162-3670
Phone
(352) 399-7295
Fax
(352) 399-7294
NPI assigned
Aug 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME 108772 FL Primary

Addresses

Primary practice location

8620A E County Road 466
The Villages, FL 32162-3670

Mailing address

8620A E County Road 466
The Villages, FL 32162-3670
Phone (352) 399-7295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110718000268 FL Practitioner - Dermatology 1456529510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Temple University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliant Dermatology PAGroup PAC ID 9436305273, 12 clinicians

Practice addresses (Care Compare)

8620 A E County Rd
Suite 466
The Villages, FL 32162-3670
Phone (352) 399-7295

Merit-based Incentive Payment System (MIPS)

Final score
79.49 of 100Reported as individual
Quality
62.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal249
Melanoma (skin cancer) excision192
Removal of tissue1-10
Removal of skin lesions9030
Removal of skin cancer2031
Removal or shaving of skin growth1-10
Skin biopsy3415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 108772FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliant Dermatology PA Dermatology CurrentSince Aug 11, 2012 Accepting new patients
Jewett Orthopaedic Clinic LLC Past Accepting new patients

Locations

1050 Old Camp Rd
Ste 150
The Villages, FL 32162
Phone (352) 399-7295

8620A E County Road 466
The Villages, FL 32162
Phone (352) 399-7295

8620 E County Road 466
The Villages, FL 32162
Phone (352) 399-7295

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: dcasper562408@direct.shands.ufl.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1164614004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620A E COUNTY ROAD 466",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321623670",
            "telephone_number": "352-399-7295",
            "fax_number": "352-399-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620A E COUNTY ROAD 466",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321623670",
            "telephone_number": "352-399-7295",
            "fax_number": "352-399-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASPER",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 108772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.