OCEAN DRIVE PLASTIC SURGERY
NPI 1003111923
Plastic Surgery in Vero Beach, FL

Active since January 25, 2011
5070 HIGHWAY A1A, SUITE A, VERO BEACH, FL 32963(772) 234-3700(772) 234-3770 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2021, Nov 5, 2021 (2 updates tracked since 2021).

About Ocean Drive Plastic Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCEAN DRIVE PLASTIC SURGERY (NPI 1003111923) is a healthcare organization registered as a plastic surgery in Vero Beach, Florida and active in the NPI registry since January 2011. The organization lists Alan J Durkin, Owner, as its authorized official.

NPPES Registry Identity

NPI1003111923
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameADVANCED FACIAL COSMETIC & LASER SURGERY CENTER, LLC
Location Address5070 HIGHWAY A1A, SUITE AVero Beach, FL 32963-1400
Mailing Address5070 Highway A1a, Suite AVero Beach, FL 32963-1400 · (772) 234-3700 · Fax (772) 234-3770
Fax(772) 234-3770
Organization SubpartNo
Authorized OfficialAlan J DurkinOwner · (772) 234-3700
Enumeration DateJanuary 25, 2011
Last NPPES UpdateNovember 10, 20212 updates tracked since enumeration
NPPES CertifiedNovember 10, 2021
✔ NPI 1003111923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in FL · ME99004
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X
5070 HIGHWAY A1A, Vero Beach, FL 32963

Other Names 1

Doing Business AsOcean Drive Plastic Surgery

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ocean Drive Plastic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20110407000146Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ocean Drive Plastic Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1215136767
5070 HIGHWAY A1A SUITE A
Vero Beach, FL 32963
(772) 234-3700
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0952128

Advanced Facial Cosmetic And Laser Surgery Ctr LLC · Vero Beach, FL
Expired · Oct 5, 2026
CLIA Number10D0952128
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorAlan J. Durkin
Laboratory Phone(772) 234-3700
Laboratory LocationAdvanced Facial Cosmetic And Laser Surgery Ctr LLC5070 North A1a Ste A, Vero Beach, FL 32963
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Facial Cosmetic & Laser Surgery Center, LLC's NPI number?

The NPI number for Advanced Facial Cosmetic & Laser Surgery Center, LLC is 1003111923. It was assigned to this organization in the NPPES registry on January 25, 2011. The provider is doing business as Ocean Drive Plastic Surgery.

Where is Advanced Facial Cosmetic & Laser Surgery Center, LLC located?

Advanced Facial Cosmetic & Laser Surgery Center, LLC is located at 5070 Highway A1a Suite A, Vero Beach, FL 32963. The listed phone number is (772) 234-3700.

What is Advanced Facial Cosmetic & Laser Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Advanced Facial Cosmetic & Laser Surgery Center, LLC enrolled in Medicare?

Yes. Advanced Facial Cosmetic & Laser Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

When is Advanced Facial Cosmetic & Laser Surgery Center, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Advanced Facial Cosmetic & Laser Surgery Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Advanced Facial Cosmetic & Laser Surgery Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Facial Cosmetic & Laser Surgery Center, LLC accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Advanced Facial Cosmetic & Laser Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Facial Cosmetic & Laser Surgery Center, LLC was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.