Dennis Thomas Alter, MD
Individual provider Active NPI Specialist · Palm Coast, FL
NPI 1659375152 · NPPES record last updated Oct 23, 2008
Key facts
- NPI
- 1659375152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- ME0054825 (FL)
- Practice address
- 21 Hospital Drive
Ste. 110
Palm Coast, FL 32164-8683 - Phone
- (386) 586-1370
- Fax
- (386) 586-1369
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- University of South Florida College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Hospital Healthcare Partners, Inc
Practice addresses (Care Compare)
60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000
Hospital & facility affiliations
- Bravery Home Healthcare
- Centerwell Home Health
- Adventhealth Home Health
- Accentcare Home Health of Daytona
- AdventHealth Palm Coast
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 13 |
| Knee replacement | 33 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080826000410 | FL | Practitioner - Orthopedic Surgery | 8527138163 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0054825 | FL | MD | Specialist |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Flagler Inc. | Current |
Accepting new patients | |
| Memorial Hospital Flagler Inc | Current |
Accepting new patients | |
| Florida Hospital Healthcare Partners, Inc | Current |
Accepting new patients | |
| Adventhealth Primary Care Network Inc | Past | Accepting new patients |
Locations
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
120 Cypress Edge Dr
Ste 210
Palm Coast, FL 32164
Phone (386) 445-4750
120 Cypress Edge Dr
Ste 102
Palm Coast, FL 32164
Phone (386) 586-4280
21 Hospital Dr
Ste 110
Palm Coast, FL 32164
Phone (386) 586-1370
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- dalter57664@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0054825 | FL | Yes |
Addresses
Primary practice location
21 Hospital Drive
Ste. 110
Palm Coast, FL 32164-8683
Mailing address
21 Hospital Dr
Ste 110
Palm Coast, FL 32164-2380
Phone (386) 586-1370
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200014378 | Other | GA | RAILROAD MEDICARE |
| 370314200 | Medicaid | FL |
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.