DR. LEONARD MARK DZUBOW (MD) – MOHS-Micrographic Surgery Physician, NPI 1790778199

DR. LEONARD MARK DZUBOW (MD) is a healthcare provider. based in Media, Pennsylvania. specializing in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS), DERMATOLOGY. They hold the professional credentials MD. They hold a License No. MD020065E (PA). The NPI Number for DR. LEONARD MARK DZUBOW (MD) is 1790778199

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEONARD MARK DZUBOW (MD)
NPI
1790778199
Phone
(610) 566-7846
Address
101 CHESLEY DR
Enumeration Date
31 August 2005
Last Update Date
17 December 2009

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
6105667111
Graduation Year
1975 (51 years ago)
PAC ID
3476441981
Group Practice PAC ID
0244120756
Professional Enrollment ID
I20100917000371
Address ID
PA190631761ME101XXDRXX302
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

74 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in PA

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Provider Addresses for DR. LEONARD MARK DZUBOW (MD)

  • 101, Chesley Drive, Bowling Green, Nether Providence Township, Delaware County, Pennsylvania, 19063, United States

    MEDIA, PA 190631761

    Phone: (610) 566-7846

    Fax: (610) 891-6735

    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: 2010-09-17

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
I20100917000371IMicrographic Dermatologic Surgery (Mds)PATBD

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
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks766621$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks587367$0
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm121118$0
88342Special stained specimen slides to examine tissue, initial procedure11868$0
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks8767$0
View full utilization report →

Insurance plans in this area (ZIP 19063)

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Provider's Procedures

DR. LEONARD MARK DZUBOW (MD) performs procedures in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYPA13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet141136
DERMATOLOGYPA14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips4747

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: 0244120756View full group profile
NameSpecialtyState
D E R M A T O L O G YPA
-PA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
Micrographic Dermatologic Surgery (Mds), DermatologyPA
D E R M A T O L O G YNJ

Reviews

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Frequently asked questions

Is DR. LEONARD MARK DZUBOW (MD) listed with a National Provider Identifier?
Yes — DR. LEONARD MARK DZUBOW (MD) has NPI 1790778199 on file in the registry.
Active or inactive — what applies to DR. LEONARD MARK DZUBOW (MD)?
You should see DR. LEONARD MARK DZUBOW (MD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. LEONARD MARK DZUBOW (MD)?
DR. LEONARD MARK DZUBOW (MD)'s record emphasizes MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. LEONARD MARK DZUBOW (MD)?
Directory geography for DR. LEONARD MARK DZUBOW (MD) centers on Media, Pennsylvania.
Does DR. LEONARD MARK DZUBOW (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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