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DR. GORAN MICEVIC MD,PHD
NPI 1679063986
Dermatology in New Haven, CT

Active since May 11, 2018PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
20 YORK ST DEPT OF DERMATOLOGY, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: April 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2022, May 11, 2018 (2 updates tracked since 2018).

About Dr. Goran Micevic Md,phd NPPES

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

DR. GORAN MICEVIC MD,PHD (NPI 1679063986) is an individual dermatology provider in New Haven, Connecticut, licensed in Connecticut (70721) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2018).

NPPES Registry Identity

NPI1679063986
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. GORAN MICEVICCredential: MD,PHD
Location Address20 YORK ST DEPT OF DERMATOLOGYNew Haven, CT 06510-3220
Mailing Address333 Cedar Street, Dept. Of Dermatology, Lc1 501 Po Box 208059New Haven, CT 06520-8059
Phone(203) 688-4242
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2018
Enumeration DateMay 11, 2018
Last NPPES UpdateApril 30, 20222 updates tracked since enumeration
NPPES CertifiedApril 30, 2022
✔ NPI 1679063986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CT · 70721
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
20 YORK ST DEPT OF DERMATOLOGY, New Haven, CT 06510
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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

Dr. Goran Micevic Md,phd 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 ID1456607498
PECOS Enrollment IDI20220929000612
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 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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 Goran Micevic's NPI number?

The NPI number for Goran Micevic is 1679063986. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Where is Goran Micevic located?

Goran Micevic practices at 20 York St Dept Of Dermatology, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Goran Micevic's specialty?

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

Is Goran Micevic enrolled in Medicare?

Yes. Goran Micevic 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 Goran Micevic was last updated on April 30, 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.