Dimitry Michael Palceski, D.O.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

OS9674 Issued in FL

Practice address

440 W Morse Blvd
Winter Park, FL 32789-4206

Phone

(407) 895-8818

Fax

(407) 291-3800

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Midwestern University, Chicago College of Osteopathic Med, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reflections Dermatology and Center for Skin Care PLLCGroup PAC ID 2062509987, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Reflections Dermatology and Center for Skin Care PLLC

  • Procedural Dermatology Physician
  • Orlando, FL
  • NPI 1992908578
  Medicare reassignment Care Compare group NPD Authorized official
• Associates in Dermatology Inc

  • Specialist
  • Kissimmee, FL
  • NPI 1316960297
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1265407290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341331210",
            "telephone_number": "407-895-8818",
            "fax_number": "407-291-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W MORSE BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894206",
            "telephone_number": "407-895-8818",
            "fax_number": "407-291-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Outer Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328146652",
            "country_code": "US",
            "telephone_number": "407-895-8818",
            "fax_number": "407-291-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALCESKI",
        "first_name": "DIMITRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "OS9674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Barbara Palma, LMFT
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• Palmer Chiropractic and Wellness
• Palmer Oaks, LLC

• Procedural Dermatology Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.