DR. MICHAEL BRIAN ZAYCOSKY (D.O.) – Dermatology Physician, NPI 1174789507

DR. MICHAEL BRIAN ZAYCOSKY (D.O.) is a healthcare provider. based in Fayetteville, Georgia. specializing in DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold the professional credentials D.O.. They hold a License No. OS015047 (PA). The NPI Number for DR. MICHAEL BRIAN ZAYCOSKY (D.O.) is 1174789507

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL BRIAN ZAYCOSKY (D.O.)
NPI
1174789507
Phone
(770) 460-8988
Address
450 LANIER AVE WEST
Enumeration Date
5 August 2008
Last Update Date
18 June 2024

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
8144137997
Graduation Year
2007 (19 years ago)
PAC ID
1850570110
Group Practice PAC ID
2769830322
Professional Enrollment ID
I20110119000949
Address ID
PA164152027FA7176XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

409 DERMATOLOGY in GA

Provider Addresses for DR. MICHAEL BRIAN ZAYCOSKY (D.O.)

  • 450 LANIER AVE WEST

    FAYETTEVILLE, GA 30214

    Phone: (770) 460-8988

    Fax: (770) 460-0727

    Type: Mailing

  • 7176 W RIDGE RD

    FAIRVIEW, PA 164152027

    Phone: (814) 413-7997

    Fax: (814) 413-7998

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $1,318.

Total Amount is formed as General ($1,318) + Research ($0) + Ownership ($0) = $1,318.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GENZYME CORPORATION ($383).

Total Amount

$1,318

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,318

General payments

Research Amount

$0

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: 2011-01-19

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
I20110119000949IDermatologyPATBD

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 30214)

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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: 2769830322View full group profile
NameSpecialtyState
Physician AssistantPA
Physician AssistantNY

Reviews

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Frequently asked questions

How do payers reference DR. MICHAEL BRIAN ZAYCOSKY (D.O.)?
For DR. MICHAEL BRIAN ZAYCOSKY (D.O.), use NPI 1174789507 as the unique 10-digit identifier.
Is DR. MICHAEL BRIAN ZAYCOSKY (D.O.) still an active registrant?
DR. MICHAEL BRIAN ZAYCOSKY (D.O.) carries an active NPI according to the public dataset.
How would a patient describe DR. MICHAEL BRIAN ZAYCOSKY (D.O.)'s focus?
For DR. MICHAEL BRIAN ZAYCOSKY (D.O.), the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL BRIAN ZAYCOSKY (D.O.) associated with Fayetteville?
Public fields place DR. MICHAEL BRIAN ZAYCOSKY (D.O.) around Fayetteville, Georgia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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