ANDREW K POLLACK (MD) – Dermatology Physician, NPI 1063416006
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANDREW K POLLACK (MD)
151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States
STE 300
MAITLAND, FL 327517172
Phone: (407) 875-2080
Fax: (407) 650-3455
Type: Mailing
501 OFFICE CENTER DR
SUITE 195
FT WASHINGTON, PA 190343220
Phone: (215) 836-7900
Fax: (215) 836-7923
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $5,019.
Total Amount is formed as General ($5,019) + Research ($0) + Ownership ($0) = $5,019.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Globus Medical, Inc. ($5,019).
Total Amount
$5,019
General + Research + Ownership
Payments
7
Total payment records
General Amount
$5,019
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Globus Medical, Inc. | $5,019 |
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: 2009-03-18
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 |
|---|---|---|---|---|
| I20090318000329 | I | Dermatology | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32751)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | PA | 17003 | Destruction of 2-14 skin growths | 964 | 243 |
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