ANTHONY JEROME PORTER (MD) – Dermatology Physician, NPI 1013957133

ANTHONY JEROME PORTER (MD) is a healthcare provider. based in Melbourne, Florida. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 01058940A (IN). The NPI Number for ANTHONY JEROME PORTER (MD) is 1013957133

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY JEROME PORTER (MD)
NPI
1013957133
Phone
(321) 308-0659
Address
1515 W NASA BLVD
Enumeration Date
7 June 2006
Last Update Date
30 September 2014

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
3213080659
Graduation Year
1998 (28 years ago)
PAC ID
9739152927
Group Practice PAC ID
0749562452
Professional Enrollment ID
I20070123000043
Address ID
FL329012605ME1515XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,366 DERMATOLOGY in FL

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Provider Addresses for ANTHONY JEROME PORTER (MD)

  • 1515, West NASA Boulevard, Melbourne, Brevard County, Florida, 32901, United States

    SUITE 101

    MELBOURNE, FL 329012605

    Phone: (321) 308-0659

    Fax: (321) 309-2881

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 357 Open Payments records for all available years, with a total value of $7,788.

Total Amount is formed as General ($7,788) + Research ($0) + Ownership ($0) = $7,788.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,254).

Total Amount

$7,788

General + Research + Ownership

Payments

357

Total payment records

General Amount

$7,788

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: 2007-01-23

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
I20070123000043IDermatologyFLTBD

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
17003Destruction of precancer skin growth, 2-14 growths3,005429$0
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg2,60113$0
99213Established patient office or other outpatient visit, 20-29 minutes1,223780$0
17000Destruction of precancer skin growth, 1 growth785543$0
G6001Ultrasonic guidance for placement of radiation therapy fields63635$0
View full utilization report →

Insurance plans in this area (ZIP 32901)

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Provider's Procedures

ANTHONY JEROME PORTER (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL11101Biopsy of each additional growth of skin and/or tissue217146

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: 0749562452View full group profile
NameSpecialtyState
Physician AssistantFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I use this page to confirm ANTHONY JEROME PORTER (MD)'s NPI?
Yes. ANTHONY JEROME PORTER (MD) is listed with NPI 1013957133 in the public NPI dataset.
Does the file indicate ANTHONY JEROME PORTER (MD) is practicing under active NPI?
Directory data currently reports ANTHONY JEROME PORTER (MD) as active.
What is ANTHONY JEROME PORTER (MD)'s specialty?
The listing groups ANTHONY JEROME PORTER (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect ANTHONY JEROME PORTER (MD) on a map?
Expect Melbourne, Florida as a primary anchor for ANTHONY JEROME PORTER (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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