AMIN FAZELI MD
NPI 1215991005
Dermatology in Fayetteville, NY

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
96.37/100
CMS Quality Rating
4110 MEDICAL CENTER DR, SUITE 110, FAYETTEVILLE, NY 13066(315) 663-0100(585) 663-0052 Get Directions Write a Review

NPPES record last updated: January 26, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amin Fazeli Md NPPES

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

AMIN FAZELI MD (NPI 1215991005) is an individual dermatology provider in Fayetteville, New York, licensed in New York (236051) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2001).

NPPES Registry Identity

NPI1215991005
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameAMIN FAZELICredential: MD
Location Address4110 MEDICAL CENTER DR, SUITE 110Fayetteville, NY 13066-6613
Mailing Address4110 Medical Center Dr, Dermatology Associates Of Cny PllcFayetteville, NY 13066-6613 · (315) 663-0100 · Fax (315) 663-0052
Fax(585) 663-0052
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2001
Enumeration DateApril 17, 2006
Last NPPES UpdateJanuary 26, 2017
NPI 1215991005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NY · 236051
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 236051 (NY)
4110 MEDICAL CENTER DR, Fayetteville, NY 13066

Other Identifiers 2

Medicare UPINI40590
MedicaidRA7948NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amin Fazeli Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416981253
PECOS Enrollment IDI20050921000913
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
254 services169 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
166 services24 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
119 services106 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
104 services68 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
56 services45 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052
This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.
51 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.74
Improvement Activities40

Reported Quality Measures

Advance Care Plan
88%473 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
46%1,114 patients1/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%69 patients
Melanoma: Coordination of Care
100%29 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 48% · 238 patients
46%238 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4110 MEDICAL CENTER DR, SUITE 100
FAYETTEVILLE, NY 13066
Nurse Practitioner (Family)
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Physician Assistant
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Physician Assistant (Medical)
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Internal Medicine
4110 MEDICAL CENTER DR, SUITE 110
FAYETTEVILLE, NY 13066
Physician Assistant
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Nurse Practitioner (Family)
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Nurse Practitioner (Family)
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066

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 Amin Fazeli's NPI number?

The NPI number for Amin Fazeli is 1215991005. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Amin Fazeli located?

Amin Fazeli practices at 4110 Medical Center Dr Suite 110, Fayetteville, NY 13066. The listed phone number is (315) 663-0100.

What is Amin Fazeli's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Amin Fazeli enrolled in Medicare?

Yes. Amin Fazeli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amin Fazeli was last updated on January 26, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.