PALM BEACH DERMATOLOGY GROUP
NPI 1407805021
Dermatology in Palm City, FL
About Palm Beach Dermatology Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PALM BEACH DERMATOLOGY GROUP (NPI 1407805021) is a healthcare organization registered as a dermatology in Palm City, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 9, 2027, maintains a secondary practice location in Delray Beach, and lists Adam S Plotkin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
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)
Palm Beach Dermatology Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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.
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Palm Beach Dermatology Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (9)
West Palm Beach, FL 33406
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 10D2235683
Adam S Plotkin, MD PA Dba Palm Beach Dermatology Group · Delray Beach, FLFrequently 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 Adam S Plotkin MD PA's NPI number?
The NPI number for Adam S Plotkin MD PA is 1407805021. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Palm Beach Dermatology Group.
Where is Adam S Plotkin MD PA located?
Adam S Plotkin MD PA is located at 3654 SW 30th Ave, Palm City, FL 34990. The listed phone number is (772) 210-7555.
What is Adam S Plotkin MD PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Adam S Plotkin MD PA enrolled in Medicare?
Yes. Adam S Plotkin MD PA is registered in the Medicare PECOS enrollment system.
When is Adam S Plotkin MD PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Florida, Physician - Dermatology) is due for revalidation by October 31, 2026. 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 Adam S Plotkin MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 5 Medicare specialties reassign their Medicare billing to Adam S Plotkin MD 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. The largest specialties are Dermatology (3), Nurse Practitioner (3) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Adam S Plotkin MD PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2235683) is associated with this NPI, valid through September 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Adam S Plotkin MD PA accept?
Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 1 other insurer list Adam S Plotkin MD 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 Adam S Plotkin MD PA was last updated on October 21, 2022. 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.
# Palm Beach Dermatology Group · NPI 1407805021
Dermatology organization in Palm City, Florida. Organization record, active in the CMS NPPES registry since May 9, 2006.
## Identity
- **NPI:** 1407805021 (Entity type: Organization)
- **Enumerated:** May 9, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Adam S Plotkin Md Pa
- **Organization subpart:** No
- **Authorized official:** Adam Plotkin, OWNER
## Practice location
- **Address:** 3654 SW 30TH AVE, Palm City, FL 34990-3700
- **Phone:** (772) 210-7555 · **Fax:** (772) 266-8207
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, Florida, Physician - Dermatology) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (3), Nurse Practitioner (3), Micrographic Dermatologic Surgery (MDS) (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407805021) · Data from the CMS NPPES public registry.