DMITRIY TIMERMAN – Dermatology Physician, NPI 1174986525

DMITRIY TIMERMAN is a healthcare provider. based in Danbury, Connecticut. specializing in DERMATOLOGY. They hold a License No. 303823 (NY). The NPI Number for DMITRIY TIMERMAN is 1174986525

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DMITRIY TIMERMAN
NPI
1174986525
Phone
(203) 830-4700
Address
107 NEWTOWN RD STE 2C
Enumeration Date
2 April 2016
Last Update Date
8 April 2021

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
2038304700
Graduation Year
2016 (10 years ago)
PAC ID
4789006446
Group Practice PAC ID
2567353121
Professional Enrollment ID
I20210513002844
Address ID
CT068104151DA107XXRDXX307
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

270 DERMATOLOGY in CT

Provider Addresses for DMITRIY TIMERMAN

  • 107 NEWTOWN RD STE 2C

    DANBURY, CT 068104146

    Phone: (203) 830-4700

    Fax: (203) 730-4165

    Type: Location

  • 1000 10th Ave

    New York, NY 100191147

    Phone: (212) 523-4000

    Type: Location

  • 37 W End Ave Ph 2

    Brooklyn, NY 112354870

    Phone: (718) 375-7546

    Type: Location

  • Mount Sinai West, 1000, 10th Avenue, Hell's Kitchen, Manhattan Community Board 4, Manhattan, New York County, New York, 10019, United States

    NEW YORK, NY 100191147

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 131 Open Payments records for all available years, with a total value of $2,620.

Total Amount is formed as General ($2,620) + Research ($0) + Ownership ($0) = $2,620.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($342).

Total Amount

$2,620

General + Research + Ownership

Payments

131

Total payment records

General Amount

$2,620

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-05-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210513002844IDermatologyCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95044Test for allergy using skin patch2,00321$0
17003Destruction of precancer skin growth, 2-14 growths905118$0
99213Established patient office or other outpatient visit, 20-29 minutes472290$0
11102Biopsy of related skin growth, first growth283212$0
99203New patient office or other outpatient visit, 30-44 minutes212212$0
View full utilization report →

Insurance plans in this area (ZIP 06810)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567353121View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryCT
O T O L A R Y N G O L O G YCT
O T O L A R Y N G O L O G YCT
O T O L A R Y N G O L O G YCT
A L L E R G Y/ I M M U N O L O G YLA
D E R M A T O L O G YCT
O T O L A R Y N G O L O G YCT
A L L E R G Y/ I M M U N O L O G YCT
-CT
D E R M A T O L O G YCT

Reviews

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Frequently asked questions

Can I use this page to confirm DMITRIY TIMERMAN's NPI?
Yes. DMITRIY TIMERMAN is listed with NPI 1174986525 in the public NPI dataset.
Is DMITRIY TIMERMAN listed as active for patients and plans?
The listing shows DMITRIY TIMERMAN as active in the NPI system.
What is DMITRIY TIMERMAN's primary classification?
Dermatology Physician is the headline specialty for DMITRIY TIMERMAN here. Clinical services aligned with this taxonomy classification.
Does DMITRIY TIMERMAN list a practice location?
Patients near Danbury, Connecticut may find DMITRIY TIMERMAN in results; validate coverage separately.
Why does DMITRIY TIMERMAN have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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