DR. ANDREW GLEN MINER (M.D.) – Dermatology Physician, NPI 1568604668

DR. ANDREW GLEN MINER (M.D.) is a healthcare provider. based in Melbourne, Florida. specializing in DERMATOLOGY, PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 35.122891 (OH). The NPI Number for DR. ANDREW GLEN MINER (M.D.) is 1568604668

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW GLEN MINER (M.D.)
NPI
1568604668
Phone
(786) 877-2831
Address
1272 VESTAVIA CIR
Enumeration Date
3 April 2009
Last Update Date
30 June 2014

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
3216367780
Graduation Year
2009 (17 years ago)
PAC ID
0749411577
Group Practice PAC ID
3678563251
Professional Enrollment ID
I20140528002261
Address ID
FL329552479RO1286XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,366 DERMATOLOGY in FL

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Provider Addresses for DR. ANDREW GLEN MINER (M.D.)

  • 1272 VESTAVIA CIR

    MELBOURNE, FL 329402301

    Phone: (786) 877-2831

    Type: Mailing

  • Florida Avenue, Rockledge, Brevard County, Florida, 32955, United States

    ROCKLEDGE, FL 329552484

    Phone: (321) 636-7780

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $1,479.

Total Amount is formed as General ($1,479) + Research ($0) + Ownership ($0) = $1,479.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($321).

Total Amount

$1,479

General + Research + Ownership

Payments

67

Total payment records

General Amount

$1,479

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2014-05-28

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
I20140528002261IDermatologyFLTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity6,4663,256$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks523419$0
88341Special stained specimen slides to examine tissue, each additional procedure343144$0
99212Established patient office or other outpatient visit, 10-19 minutes32088$0
88312Special stained specimen slides to identify organisms including interpretation and report302181$0
View full utilization report →

Insurance plans in this area (ZIP 32940)

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Provider's Procedures

DR. ANDREW GLEN MINER (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL17003Destruction of 2-14 skin growths1029218

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: 3678563251View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
D E R M A T O L O G YPA
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
-FL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL

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Frequently asked questions

Does DR. ANDREW GLEN MINER (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. ANDREW GLEN MINER (M.D.) uses 1568604668.
Is DR. ANDREW GLEN MINER (M.D.) still practicing?
DR. ANDREW GLEN MINER (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. ANDREW GLEN MINER (M.D.)?
For research purposes, treat DR. ANDREW GLEN MINER (M.D.) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANDREW GLEN MINER (M.D.)?
DR. ANDREW GLEN MINER (M.D.)'s geographic hint is Melbourne, Florida in our summary view.
Why does DR. ANDREW GLEN MINER (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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