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KAYLAN PUSTOVER DO
NPI 1871901918
Dermatology in New York, NY

Active since July 31, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4 W 58TH ST FL 13, NEW YORK, NY 10019(212) 431-4749 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 11, 2021, May 10, 2019, Jun 27, 2016 (3 updates tracked since 2016).

About Kaylan Pustover Do NPPES

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

KAYLAN PUSTOVER DO (NPI 1871901918) is an individual dermatology provider in New York, New York, licensed in New York (293128) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ypsilanti, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2014).

NPPES Registry Identity

NPI1871901918
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKAYLAN PUSTOVERCredential: DO
Location Address4 W 58TH ST FL 13New York, NY 10019-2515
Mailing Address4 W 58th St Fl 13New York, NY 10019-2515
Phone(212) 431-4749
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2014
Enumeration DateJuly 31, 2014
Last NPPES UpdateFebruary 11, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2021
✔ NPI 1871901918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in NY · 293128✔ Licensed in MI · 5101021933
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.
4 W 58TH ST FL 13, New York, NY 10019
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Secondary Practice Location 1

Location 15333 McAuley Dr, Suite 5003Ypsilanti, MI 48197-1014 · Phone (734) 712-3376

Other Identifiers 1

Other293128NY · Ny License

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

Kaylan Pustover Do 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 ID7517273584
PECOS Enrollment IDI20180820001123
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

AISLEEN DIAZ MD
Dermatology
4 W 58TH ST FL 13
NEW YORK, NY 10019
New York County (646) 906-9614

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 Kaylan Pustover's NPI number?

The NPI number for Kaylan Pustover is 1871901918. It was assigned to this individual provider in the NPPES registry on July 31, 2014.

Where is Kaylan Pustover located?

Kaylan Pustover practices at 4 W 58th St Fl 13, New York, NY 10019. The listed phone number is (212) 431-4749.

What is Kaylan Pustover's specialty?

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

Is Kaylan Pustover enrolled in Medicare?

Yes. Kaylan Pustover 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 Kaylan Pustover was last updated on February 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.