VITALY TERUSHKIN
NPI 1699099671
Dermatology - MOHS-Micrographic Surgery in New York, NY

Active since March 20, 2010PECOS EnrolledAccepts Medicare AssignmentCLIA 33D0976698 · Certificate of Compliance
75/100
CMS Quality Rating
205 E 69TH ST APT 1C, NEW YORK, NY 10021(212) 772-3600 Get Directions Write a Review

NPPES record last updated: January 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2022, Oct 10, 2020 (2 updates tracked since 2020).

About Vitaly Terushkin NPPES

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

VITALY TERUSHKIN (NPI 1699099671) is an individual mohs-micrographic surgery provider in New York, New York, licensed in New York (269373) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through January 16, 2027, and is a graduate of New York University School Of Medicine (2010).

NPPES Registry Identity

NPI1699099671
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameVITALY TERUSHKIN
Location Address205 E 69TH ST APT 1CNew York, NY 10021-5437
Mailing Address205 E 69th St Apt 1cNew York, NY 10021-5437 · (212) 772-3600
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2010
Enumeration DateMarch 20, 2010
Last NPPES UpdateJanuary 2, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2022
NPI 1699099671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Licenses Licensed in NY · 269373 Licensed in NJ · 25MA09654300
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.
Also ListedDermatologyTaxonomy 207N00000X · License MD451382 (PA), 269373 (NY), 25MA09654300 (NJ)
205 E 69TH ST APT 1C, New York, NY 10021

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

Vitaly Terushkin 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 ID941437008
PECOS Enrollment IDI20131217000093, I20150520000850
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.

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 33D0976698

Vitaly Terushkin MD PLLC · New York, NY
Active · expires Jan 16, 2027
CLIA Number33D0976698
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorDr. Vitaly Terushkin
Laboratory Phone(212) 772-3600
Laboratory LocationVitaly Terushkin MD PLLC205 East 69th Street Ste 1C, New York, NY 10021
CLIA data matches this NPI record on: 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.

Areas of Expertise CMS Part B claims 32

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.

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.
1,020 services892 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
568 services313 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.
473 services325 patients
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313
This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.
389 services304 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
375 services350 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
330 services330 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
22%41 patients1/55-star benchmark: 95%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
17%42 patients1/55-star benchmark: 100%
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

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

Dermatology (MOHS-Micrographic Surgery)
205 E 69TH ST APT 1C
NEW YORK, NY 10021

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 Vitaly Terushkin's NPI number?

The NPI number for Vitaly Terushkin is 1699099671. It was assigned to this individual provider in the NPPES registry on March 20, 2010.

Where is Vitaly Terushkin located?

Vitaly Terushkin practices at 205 E 69th St Apt 1C, New York, NY 10021. The listed phone number is (212) 772-3600.

What is Vitaly Terushkin's specialty?

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

Is Vitaly Terushkin enrolled in Medicare?

Yes. Vitaly Terushkin 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.

Does Vitaly Terushkin hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0976698) is associated with this NPI, valid through January 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vitaly Terushkin was last updated on January 2, 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.