MR. VITALY BLATNOY (MD) – Dermatology Physician, NPI 1669462123

MR. VITALY BLATNOY (MD) is a healthcare provider. based in Lake mary, Florida. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. ME92940 (FL). The NPI Number for MR. VITALY BLATNOY (MD) is 1669462123

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MR. VITALY BLATNOY (MD)
NPI
1669462123
Phone
(407) 436-7375
Address
731 Strling Ctr Pl Unit 1931
Enumeration Date
26 October 2005
Last Update Date
25 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4074367375
Graduation Year
1995 (31 years ago)
PAC ID
4981638236
Group Practice PAC ID
3779866579
Professional Enrollment ID
I20050926000583
Address ID
FL327465209LA731XXPLXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for MR. VITALY BLATNOY (MD)

  • 731 Strling Ctr Pl Unit 1931

    Lake Mary, FL 327465209

    Phone: (407) 436-7375

    Fax: (407) 986-9007

    Type: Location

  • 422 S Alafaya Trl Ste 26

    Orlando, FL 328288984

    Phone: (407) 538-3855

    Fax: (407) 459-8732

    Type: Location

  • Dr. Edward Stoner Way, Oviedo, Seminole County, Florida, 32765-8888, United States

    SUITE 1020

    OVIEDO, FL 327659290

    Phone: (407) 706-1770

    Fax: (407) 706-1777

    Type: Mailing

  • 7560 RED BUG LAKE RD STE 1014

    OVIEDO, FL 327656591

    Phone: (407) 706-1770

    Fax: (407) 706-1777

    Type: Mailing

  • 4970 S US Highway 17/92

    Casselberry, FL 327073888

    Phone: (407) 635-8012

    Fax: (407) 706-1777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 116 Open Payments records for all available years, with a total value of $2,578.

Total Amount is formed as General ($2,578) + Research ($0) + Ownership ($0) = $2,578.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($604).

Total Amount

$2,578

General + Research + Ownership

Payments

116

Total payment records

General Amount

$2,578

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2005-09-26

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
I20050926000583IDermatologyFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,631959$0
17000Destruction of precancer skin growth, 1 growth1,030689$0
17003Destruction of precancer skin growth, 2-14 growths851587$0
88305Pathology examination of tissue using a microscope, intermediate complexity775482$0
17110Destruction of skin growth, 1-14 growths543440$0
View full utilization report →

Insurance plans in this area (ZIP 32746)

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Provider's Procedures

MR. VITALY BLATNOY (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 tissue6855

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: 3779866579View full group profile
NameSpecialtyState
D E R M A T O L O G YWI
O T O L A R Y N G O L O G YFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is MR. VITALY BLATNOY (MD)'s NPI number?
MR. VITALY BLATNOY (MD)'s NPI is 1669462123 — the number used across U.S. healthcare to identify this provider.
Would MR. VITALY BLATNOY (MD) appear as active to a payer?
You can treat MR. VITALY BLATNOY (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MR. VITALY BLATNOY (MD)'s focus?
For MR. VITALY BLATNOY (MD), the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. VITALY BLATNOY (MD)?
Directory geography for MR. VITALY BLATNOY (MD) centers on Lake Mary, Florida.
When was this NPI issued?
Enumeration for MR. VITALY BLATNOY (MD) is noted as October 26, 2005 where the registry provides it.

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