DMITRY MYSH (MD) – Gastroenterology Physician, NPI 1033105903

DMITRY MYSH (MD) is a healthcare provider. based in Fort myers, Florida. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 25MA065097 (NJ). The NPI Number for DMITRY MYSH (MD) is 1033105903

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DMITRY MYSH (MD)
NPI
1033105903
Phone
(239) 343-6202
Address
PO BOX 2147
Enumeration Date
26 September 2005
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393432000
Graduation Year
1985 (41 years ago)
PAC ID
6608977129
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20191029001103
Address ID
FL339015864FO2776XAVEX300

Contacts

Secure Messaging
dmysh222284@Direct.leememorial.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

1,474 GASTROENTEROLOGY in FL

Provider Addresses for DMITRY MYSH (MD)

  • Fort Myers Post Office, North Airport Road, Lee County, Florida, 33907, United States

    FORT MYERS, FL 339022147

    Phone: (239) 343-6202

    Fax: (239) 437-8537

    Type: Mailing

  • 16410 HEALTHPARK COMMONS DR

    FORT MYERS, FL 339089621

    Phone: (239) 343-6202

    Fax: (239) 437-8537

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $1,545.

Total Amount is formed as General ($1,545) + Research ($0) + Ownership ($0) = $1,545.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($418).

Total Amount

$1,545

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,545

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2019-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20160809000154IGastroenterologyPATBD
I20171018002915IGastroenterologyHITBD
I20190219003246IGastroenterologyKYTBD
I20191029001103IGastroenterologyFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes170124$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes164160$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6459$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope6262$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope5151$0
View full utilization report →

Insurance plans in this area (ZIP 33902)

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Provider's Procedures

DMITRY MYSH (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYNJ45378Diagnostic examination of large bowel using an endoscope3232
GASTROENTEROLOGYNJ45385Removal of polyps or growths of large bowel using an endoscope1818

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: 9335672146View full group profile
NameSpecialtyState
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Medical Genetics And GenomicsMI
Nurse PractitionerFL
Family PracticeFL
General SurgeryFL
Family PracticeFL

Reviews

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Frequently asked questions

What unique ID ties claims to DMITRY MYSH (MD)?
NPI 1033105903 is assigned to DMITRY MYSH (MD) under the national enumeration system.
Does this profile mean DMITRY MYSH (MD) is currently active?
Yes — DMITRY MYSH (MD) appears active in the national provider directory.
What field does DMITRY MYSH (MD) work in?
You can think of DMITRY MYSH (MD) as practicing within Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DMITRY MYSH (MD)?
The snapshot lists Fort Myers, Florida for DMITRY MYSH (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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