DMITRY E PRIMAK (MD) – Psychiatry Physician, NPI 1609860733
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,134 PSYCHIATRY in CA
Provider Addresses for DMITRY E PRIMAK (MD)
351 SANTA FE DR STE 200
ENCINITAS, CA 920245137
Phone: (858) 279-1223
Type: Location
23, Sandford Road, Radburn, Fair Lawn, Bergen County, New Jersey, 07410, United States
FAIR LAWN, NJ 074104202
Phone: (201) 796-8008
Type: Mailing
Radburn Plaza Building, 14-25, Plaza Road, Park Hill Condominiums, Fair Lawn, Bergen County, New Jersey, 07410, United States
SUITE N26
FAIR LAWN, NJ 074103546
Phone: (201) 796-8008
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100913000084 | I | Psychiatry | NJ | TBD |
| I20160729001088 | I | Psychiatry | CA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 12 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 12 | 12 | $0 |
Insurance plans in this area (ZIP 92024)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Nurse Practitioner | AZ | |
| P S Y C H I A T R Y | CA | |
| Clinical Social Worker | CA | |
| Clinical Psychologist | CA | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | AZ | |
| Clinical Psychologist | CA | |
| Clinical Psychologist | CA | |
| Nurse Practitioner | CA |
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