DR. JEFFREY S. GREENWALD (M.D.) – Specialist, NPI 1679532923

DR. JEFFREY S. GREENWALD (M.D.) is a healthcare provider. based in Mount dora, Florida. specializing in DERMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME36222 (FL). The NPI Number for DR. JEFFREY S. GREENWALD (M.D.) is 1679532923

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY S. GREENWALD (M.D.)
NPI
1679532923
Phone
(352) 383-0733
Address
2850 MORNINGSIDE DR
Enumeration Date
23 March 2006
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Secondary Phone
3523830733
Graduation Year
1976 (50 years ago)
PAC ID
8527090836
Group Practice PAC ID
4385676782
Professional Enrollment ID
I20100708000760
Address ID
FL327576610MO2850XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

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Provider Addresses for DR. JEFFREY S. GREENWALD (M.D.)

  • 2850, Morningside Drive, Mount Dora, Lake County, Florida, 32726, United States

    MOUNT DORA, FL 327576610

    Phone: (352) 383-0733

    Fax: (352) 383-7112

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $533.

Total Amount is formed as General ($533) + Research ($0) + Ownership ($0) = $533.

Last reported payment date: 2024-08-23 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($154).

Total Amount

$533

General + Research + Ownership

Payments

18

Total payment records

General Amount

$533

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-23

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: 2010-07-08

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
I20100708000760IDermatologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32757)

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Provider's Procedures

DR. JEFFREY S. GREENWALD (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 growths3903627
DERMATOLOGYFL77300Calculation of radiation therapy dose2827

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: 4385676782View full group profile
NameSpecialtyState
Dermatology, PathologyFL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
-FL
D E R M A T O L O G YFL
Physician AssistantFL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
-FL

Reviews

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Frequently asked questions

How is DR. JEFFREY S. GREENWALD (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JEFFREY S. GREENWALD (M.D.) with NPI 1679532923.
Can I rely on DR. JEFFREY S. GREENWALD (M.D.) being an active provider?
As of the registry snapshot, DR. JEFFREY S. GREENWALD (M.D.) is marked active.
What is DR. JEFFREY S. GREENWALD (M.D.) best known for clinically?
Directory data describes DR. JEFFREY S. GREENWALD (M.D.) with Other Service Providers. Clinical services aligned with this taxonomy classification.
Where is DR. JEFFREY S. GREENWALD (M.D.) based?
DR. JEFFREY S. GREENWALD (M.D.) is tied to Mount Dora, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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