JOAN DUNSTONE O LEARY (MD) – Dermatology Physician, NPI 1720177264

JOAN DUNSTONE O LEARY (MD) is a healthcare provider. based in Orange park, Florida. specializing in Dermatology Physician. They hold the professional credentials MD. They hold a License No. ME0064412 (FL). The NPI Number for JOAN DUNSTONE O LEARY (MD) is 1720177264

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
JOAN DUNSTONE O LEARY (MD)
NPI
1720177264
Phone
(904) 278-3100
Address
1555 KINGSLEY AVE
Enumeration Date
12 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
6709874597
Professional Enrollment ID
I20040501000385
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JOAN DUNSTONE O LEARY (MD)

  • 1555, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States

    SUITE 401

    ORANGE PARK, FL 320739204

    Phone: (904) 278-3100

    Fax: (904) 278-4463

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-05-01

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
I20040501000385IDermatologyFLTBD

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 32073)

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Provider's Procedures

JOAN DUNSTONE O LEARY (MD) performs procedures in Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL17003Destruction of 2-14 skin growths3654579

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Frequently asked questions

What is JOAN DUNSTONE O LEARY (MD)'s NPI number?
JOAN DUNSTONE O LEARY (MD)'s NPI is 1720177264 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JOAN DUNSTONE O LEARY (MD)?
For scheduling context, JOAN DUNSTONE O LEARY (MD) is shown as active in the registry.
What expertise is attributed to JOAN DUNSTONE O LEARY (MD)?
JOAN DUNSTONE O LEARY (MD)'s specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is JOAN DUNSTONE O LEARY (MD) located near Orange Park?
JOAN DUNSTONE O LEARY (MD) currently maps to Orange Park, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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