JOAN DUNSTONE O LEARY MD
NPI 1720177264
Dermatology in Orange Park, FL

NPI Status: Active since October 12, 2006

Contact Information

1555 KINGSLEY AVE
SUITE 401
ORANGE PARK, FL
ZIP 32073
Phone: (904) 278-3100
Fax: (904) 278-4463

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  • Individual
  • Female
  • Dermatology
  • PECOS Enrolled

About JOAN O LEARY

This page provides the complete NPI Profile along with additional information for Joan O Leary, a provider established in Orange Park, Florida with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1720177264 assigned on October 2006. The practitioner's primary taxonomy code is 207N00000X with license number ME0064412 (FL). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1720177264
Provider Name
JOAN DUNSTONE O LEARY MD
Gender
Female
Entity Type
Individual
Location Address
1555 KINGSLEY AVE SUITE 401 ORANGE PARK, FL 32073
Location Phone
(904) 278-3100
Location Fax
(904) 278-4463
Mailing Address
1555 KINGSLEY AVE SUITE 401 ORANGE PARK, FL 32073
Mailing Phone
(904) 278-3100
Mailing Fax
(904) 278-4463
Is Sole Proprietor?
No
Enumeration Date
10-12-2006
Last Update Date
07-08-2007
Code Navigator

A dermatologist like Joan O Leary is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
ME0064412
License State
FL
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
18934BMEDICARE ID-TYPE UNSPECIFIED (04)FL 
18934OTHER (01)FLBLUE CROSS BLUE SHIELD
F61420MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Joan O Leary is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of related skin growth, each additional growth

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

This service was performed 45 times for 39 patients

Biopsy of related skin growth, first growth

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

This service was performed 162 times for 158 patients

Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less

This procedure involves removing a small cancerous skin growth (0.5 cm or less) located on the trunk, arms, or legs. The growth is destroyed using techniques such as surgery, lasers, or radiation, aiding in the prevention of cancer spread.

This service was performed 13 times for 12 patients

Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm

This procedure involves the removal of a cancerous skin growth on the trunk, arms, or legs that is between 0.6 and 1.0 cm in size. The goal is to eliminate the cancerous cells and prevent further spread. The method of destruction may vary, including methods such as surgery, laser, or cryotherapy.

This service was performed 55 times for 48 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

This service was performed 15 times for 14 patients

Destruction of precancer skin growth, 1 growth

"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.

This service was performed 303 times for 289 patients

Destruction of precancer skin growth, 2-14 growths

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.

This service was performed 1,029 times for 238 patients

Destruction of skin growth, 1-14 growths

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

This service was performed 33 times for 32 patients

Established patient office or other outpatient visit, 10-19 minutes

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.

This service was performed 67 times for 66 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 487 times for 443 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 32073 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.62
  • Minimum New Patient Price $56
  • Maximum New Patient Price $171.84
  • Average New Patient Copayment $21.9
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.04
  • Minimum Established Patient Price $17.57
  • Maximum Established Patient Price $139.16
  • Average Established Patient Copayment $17.51
  • Minimum Established Patient Copayment $4.39
  • Maximum Established Patient Copayment $34.79

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720177264, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 2 + 7 + 1 + 4 + 2 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1720177264.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
1555 KINGSLEY AVE, STE 201
ORANGE PARK, FL 32073
Surgery
1555 KINGSLEY AVE, SUITE 503
ORANGE PARK, FL 32073
Surgery
1555 KINGSLEY AVE, SUITE 503
ORANGE PARK, FL 32073
Surgery
1555 KINGSLEY AVE, SUITE 503
ORANGE PARK, FL 32073
Internal Medicine
1555 KINGSLEY AVE, SUITE 604
ORANGE PARK, FL 32073
Psychiatry & Neurology (Psychiatry)
1555 KINGSLEY AVE, SUITE 101
ORANGE PARK, FL 32073
Dermatology
1555 KINGSLEY AVE, SUITE 401
ORANGE PARK, FL 32073
Internal Medicine
1555 KINGSLEY AVE, SUITE 501
ORANGE PARK, FL 32073
Internal Medicine
1555 KINGSLEY AVE, STE 501
ORANGE PARK, FL 32073
Clinic/Center (Dental)
1555 KINGSLEY AVE, SUITE 306
ORANGE PARK, FL 32073
Nurse Practitioner (Family)
1555 KINGSLEY AVE, SUITE 201
ORANGE PARK, FL 32073
Physical Therapist
1555 KINGSLEY AVE
ORANGE PARK, FL 32073
Nurse Practitioner (Adult Health)
1555 KINGSLEY AVE, 201-202
ORANGE PARK, FL 32073
Psychiatry & Neurology (Psychiatry)
1555 KINGSLEY AVE, SUITE 101
ORANGE PARK, FL 32073
Pediatrics (Pediatric Infectious Diseases)
1555 KINGSLEY AVE, STE. 201
ORANGE PARK, FL 32073
Prosthetic/Orthotic Supplier
1555 KINGSLEY AVE, SUITE 505
ORANGE PARK, FL 32073
Pediatrics
1555 KINGSLEY AVE, SUITE 601
ORANGE PARK, FL 32073
Pediatrics
1555 KINGSLEY AVE, SUITE 601
ORANGE PARK, FL 32073
Emergency Medicine (Emergency Medical Services)
1555 KINGSLEY AVE, SUITE 503
ORANGE PARK, FL 32073
Pediatrics
1555 KINGSLEY AVE, SUITE 601
ORANGE PARK, FL 32073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720177264, enumerated as an "individual" on October 12, 2006.

The provider is located at 1555 KINGSLEY AVE SUITE 401 ORANGE PARK, FL 32073 and the phone number is (904) 278-3100.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.