DR. JORDAN FABRIKANT (D.O.) – MOHS-Micrographic Surgery Physician, NPI 1649585753
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,369 DERMATOLOGY in FL
Provider Addresses for DR. JORDAN FABRIKANT (D.O.)
900 VILLAGE SQUARE XING STE 290
PALM BEACH GARDENS, FL 334104552
Phone:
Type: Mailing
921 TOWN CENTER DR
ORANGE CITY, FL 327638311
Phone: (386) 218-1180
Fax: (386) 218-0950
Type: Location
2285 CORPORATE CIR 200
HENDERSON, NV 890747759
Phone: (702) 360-2100
Fax: (949) 783-2880
Type: Mailing
4060 FOURTH AVE STE 415
WEST DERMATOLOGY & SURGERY MEDICAL GROUP
SAN DIEGO, CA 921032121
Phone: (619) 298-9809
Fax: (619) 298-9823
Type: Location
340 Town Plaza Ave Ste 210
Ponte Vedra, FL 320815169
Phone: (904) 404-8555
Fax: (904) 517-1619
Type: Location
7605 Conroy Windermere Rd
Orlando, FL 328352646
Phone: (321) 732-8150
Fax: (407) 613-5915
Type: Location
1907 BOISE AVE STE 3
LOVELAND, CO 805384291
Phone: (970) 682-3377
Fax: (970) 682-3340
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $679.
Total Amount is formed as General ($679) + Research ($0) + Ownership ($0) = $679.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($123).
Total Amount
$679
General + Research + Ownership
Payments
28
Total payment records
General Amount
$679
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-04-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20150513001671 | I | Micrographic Dermatologic Surgery (Mds) | FL | TBD |
| I20151007000976 | I | Dermatology | CA | TBD |
| I20170414000107 | I | Dermatology | NY | TBD |
| I20170620001628 | I | Dermatology | NJ | TBD |
| I20220427002268 | I | Dermatology | CO | 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 | 826 | 186 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 497 | 300 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 462 | 279 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 387 | 292 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 327 | 211 | $0 |
Insurance plans in this area (ZIP 33410)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | CA | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 28 | 25 |
| DERMATOLOGY | CA | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 20 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NY | |
| D E R M A T O L O G Y | NY | |
| Nurse Practitioner | NY | |
| Physician Assistant | NY |
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