Thomas Jeffrey Puskar, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

8745 N US Highway 1
Sebastian, FL 32958-7524

Phone

(772) 217-5362

NPI assigned

Nov 14, 2019

Last updated

Jan 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Divani Dermatology LLCGroup PAC ID 2961733803, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.33 of 100Reported as individual

Quality

93.33

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

• Divani Dermatology LLC

  • Dermatology Physician
  • Sebastian, FL
  • NPI 1255986113
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1306481155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 E 1ST SQ SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329682249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 N US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329587524",
            "telephone_number": "772-217-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSKAR",
        "first_name": "THOMAS",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-14",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Marie Provost-Hunter
• Elizabeth C Prudenti, LCSW
• Publix Super Markets Inc (Publix Pharmacy #1035)
• Publix Super Markets Inc (Publix Pharmacy #0772)
• Publix Super Markets, Inc. (Publix Pharmacy #0287)
• Q's Transportation LLC
• Quality Health Care Inc of Florida
• Quality Health Urgent Care Inc
• Antonio Ernesto Rabassa, DMD
• Rachel Toney

• Physician Assistant in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.