NICOLE PATZELT (M.D.) – Dermatology Physician, NPI 1073047569
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Provider Addresses for NICOLE PATZELT (M.D.)
1035 Primera Blvd Ste 1041
Lake Mary, FL 327462193
Phone: (407) 992-0660
Fax: (407) 915-7226
Type: Location
610 W 42ND ST APT 51C
NEW YORK, NY 100362016
Phone:
Type: Mailing
385 ROUTE 18 SOUTH
SUITE E
EAST BRUNSWICK, NJ 08816
Phone: (732) 390-1883
Type: Location
192A SCHOOL ST APT 2
SOMERVILLE, MA 02145
Phone: (201) 956-7727
Type: Location
3200 N Wickham Rd Ste 5
Melbourne, FL 329352321
Phone: (407) 992-0660
Fax: (407) 992-7702
Type: Location
1901 Lee Rd
Winter Park, FL 327891834
Phone: (407) 992-0660
Fax: (321) 203-4226
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
801 N ORANGE AVE STE 520
ORLANDO, FL 328015202
Phone: (407) 992-0660
Fax: (407) 992-7702
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 79 Open Payments records for all available years, with a total value of $1,363.
Total Amount is formed as General ($1,363) + Research ($0) + Ownership ($0) = $1,363.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Janssen Biotech, Inc. ($261).
Total Amount
$1,363
General + Research + Ownership
Payments
79
Total payment records
General Amount
$1,363
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $261 |
| Dermavant Sciences, Inc. | $153 |
| ABBVIE INC. | $124 |
| Incyte Corporation | $112 |
| E.R. Squibb & Sons, L.L.C. | $88 |
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: 2025-04-01
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 |
|---|---|---|---|---|
| I20240410000262 | I | Dermatology | PA | TBD |
| I20250401000679 | I | Dermatology | FL | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 451 | 70 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 219 | 200 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 131 | 112 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 88 | 78 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 78 | 71 | $0 |
Insurance plans in this area (ZIP 32746)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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