JEROME R OBED (DO) – Dermatology Physician, NPI 1720055585

JEROME R OBED (DO) is a healthcare provider. based in Fort lauderdale, Florida. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. OS9463 (FL). The NPI Number for JEROME R OBED (DO) is 1720055585

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
JEROME R OBED (DO)
NPI
1720055585
Phone
(954) 990-6591
Address
500 SE 15TH ST
Enumeration Date
1 March 2006
Last Update Date
20 August 2016

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9549906591
Graduation Year
1998 (28 years ago)
PAC ID
3779685714
Group Practice PAC ID
9436394962
Professional Enrollment ID
I20070222000409
Address ID
FL333161952FT500XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for JEROME R OBED (DO)

  • Southeast 15th Street, Port Everglades, Fort Lauderdale, Broward County, Florida, 33316, United States

    SUITE #108

    FORT LAUDERDALE, FL 333161952

    Phone: (954) 990-6591

    Fax: (954) 990-6524

    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 353 Open Payments records for all available years, with a total value of $74,801.

Total Amount is formed as General ($67,974) + Research ($6,827) + Ownership ($0) = $74,801.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($33,993).

Total Amount

$74,801

General + Research + Ownership

Payments

353

Total payment records

General Amount

$67,974

General payments

Research Amount

$6,827

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2007-02-22

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
I20070222000409IFamily PracticeFLTBD

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
95004Test for allergy using allergenic extract6,80085$0
95165Professional service for preparation and provision of 1 or more antigens2,02813$0
17003Destruction of precancer skin growth, 2-14 growths1,158170$0
99213Established patient office or other outpatient visit, 20-29 minutes776338$0
17000Destruction of precancer skin growth, 1 growth406240$0
View full utilization report →

Insurance plans in this area (ZIP 33316)

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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: 9436394962View full group profile
NameSpecialtyState
D E R M A T O L O G YMD

Reviews

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Frequently asked questions

What is JEROME R OBED (DO)'s NPI number?
JEROME R OBED (DO)'s NPI is 1720055585 — the number used across U.S. healthcare to identify this provider.
Is JEROME R OBED (DO) still an active registrant?
JEROME R OBED (DO) carries an active NPI according to the public dataset.
How would a patient describe JEROME R OBED (DO)'s focus?
For JEROME R OBED (DO), the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JEROME R OBED (DO)?
Travel planning: use Fort Lauderdale, Florida as the reference point for JEROME R OBED (DO), then confirm.
When was this NPI issued?
Enumeration for JEROME R OBED (DO) is noted as March 1, 2006 where the registry provides it.

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