TIMOTHY NYCKOWSKI (DO) – Dermatology Physician, NPI 1003313735
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Provider Addresses for TIMOTHY NYCKOWSKI (DO)
5000, West Chambers Street, Saint Joseph's, Milwaukee, Milwaukee County, Wisconsin, 53210, United States
MILWAUKEE, WI 532101650
Phone:
Type: Mailing
7560 Red Bug Lake Rd Ste 1014
Oviedo, FL 327656591
Phone: (407) 706-1770
Type: Location
422 S Alafaya Trl Ste 26
Orlando, FL 328288984
Phone: (407) 538-3855
Type: Location
4970 S US Highway 17/92
Casselberry, FL 327073888
Phone: (407) 635-8012
Type: Location
7560 RED BUG LAKE RD STE 1014
OVIEDO, FL 327656591
Phone:
Type: Mailing
731 STIRLING CENTER PL UNIT 1931
LAKE MARY, FL 327465209
Phone: (407) 436-7375
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 88 Open Payments records for all available years, with a total value of $1,886.
Total Amount is formed as General ($1,886) + Research ($0) + Ownership ($0) = $1,886.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($472).
Total Amount
$1,886
General + Research + Ownership
Payments
88
Total payment records
General Amount
$1,886
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $472 |
| ABBVIE INC. | $333 |
| GENZYME CORPORATION | $206 |
| Novartis Pharmaceuticals Corporation | $168 |
| UCB, Inc. | $104 |
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: 2022-06-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220617002632 | I | Dermatology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 392 | 238 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 248 | 176 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 216 | 153 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 180 | 128 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 172 | 140 | $0 |
Insurance plans in this area (ZIP 53210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL |
Reviews
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