NEW IMAGE DERMATOLOGY
NPI 1275522054
Dermatology - MOHS-Micrographic Surgery in New Port Richey, FL

Q: What is Myers & Fotopoulos Mds PA's NPI number?

The NPI number for Myers & Fotopoulos Mds PA is 1275522054. It was assigned to this organization in the NPPES registry on October 14, 2005. The provider is doing business as New Image Dermatology.

Q: What is Myers & Fotopoulos Mds PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since October 14, 2005CLIA 10D0297851 · Certificate of Compliance

5534 GULF DR, STE 1, NEW PORT RICHEY, FL 34652(727) 847-3992(727) 848-1118 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About New Image Dermatology NPPES

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

NEW IMAGE DERMATOLOGY (NPI 1275522054) is a healthcare organization registered as a mohs-micrographic surgery in New Port Richey, Florida and active in the NPI registry since October 2005. The organization holds a CLIA Certificate of Compliance certificate valid through June 20, 2028 and lists Theodore Fotopoulos, President, as its authorized official.

NPPES Registry Identity

NPI1275522054

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameMYERS & FOTOPOULOS MDS PA

Location Address5534 GULF DR, STE 1New Port Richey, FL 34652-4000

Mailing Address5534 Gulf Dr, Ste 1New Port Richey, FL 34652-4000 · (727) 847-3992 · Fax (727) 848-1118

Phone(727) 847-3992

Fax(727) 848-1118

Organization SubpartNo

Authorized OfficialTheodore FotopoulosPresident · (727) 847-3992

Enumeration DateOctober 14, 2005

Last NPPES UpdateJanuary 30, 2014

✔ NPI 1275522054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

5534 GULF DR, New Port Richey, FL 34652

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Other Names 1

Doing Business AsNew Image Dermatology

Other Identifiers 4

Other8550571-00FL · Cigna

OtherCC5751FL · Railroad Medicare

Other34711FL · Blue Cross Blue Shield

Medicare PINK4190FL

Group Practice 1

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

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Image Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to New Image Dermatology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Theodore Fotopoulos, MD

Dermatology

NPI 1598765760

5534 GULF DR SUITE 1
New Port Richey, FL 34652

(727) 847-3992

✔ 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 Compliance 10D0297851

Myers & Fotopoulos Mds PA Dba New Image Dermatology · New Port Richey, FL

Active · expires Jun 20, 2028

CLIA Number10D0297851

Laboratory TypePhysician Office

Certificate Effective DateJune 21, 2026

Certificate Expiration DateJune 20, 2028

Laboratory DirectorDr. Theodore N. Fotopoulos

Laboratory Phone(727) 847-3992

Laboratory LocationMyers & Fotopoulos Mds PA Dba New Image Dermatology5534 Gulf Dr Ste 1, New Port Richey, FL 34652

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Myers & Fotopoulos Mds PA's NPI number?

The NPI number for Myers & Fotopoulos Mds PA is 1275522054. It was assigned to this organization in the NPPES registry on October 14, 2005. The provider is doing business as New Image Dermatology.

Where is Myers & Fotopoulos Mds PA located?

Myers & Fotopoulos Mds PA is located at 5534 Gulf Dr Ste 1, New Port Richey, FL 34652. The listed phone number is (727) 847-3992.

What is Myers & Fotopoulos Mds PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Myers & Fotopoulos Mds PA enrolled in Medicare?

Yes. Myers & Fotopoulos Mds PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Myers & Fotopoulos Mds PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Myers & Fotopoulos Mds PA. 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.

Does Myers & Fotopoulos Mds PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0297851) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Myers & Fotopoulos Mds PA accept?

Health plans from AmeriHealth Caritas Next and AvMed list Myers & Fotopoulos Mds PA 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 Myers & Fotopoulos Mds PA was last updated on January 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.