DR. DANIEL BELOTSERKOVSKY DDS
NPI 1912344904
Dentist - General Practice in St Augustine, FL

Q: What is Daniel Belotserkovsky's NPI number?

The NPI number for Daniel Belotserkovsky is 1912344904. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Q: What is Daniel Belotserkovsky's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since May 30, 2013PECOS Enrolled

10 SAINT JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 32086(904) 770-2686 Get Directions Write a Review

NPPES record last updated: February 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Daniel Belotserkovsky Dds NPPES

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

DR. DANIEL BELOTSERKOVSKY DDS (NPI 1912344904) is an individual general practice provider in St Augustine, Florida, licensed in Florida (DN21757) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912344904

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DANIEL BELOTSERKOVSKYCredential: DDS

Location Address10 SAINT JOHNS MEDICAL PARK DRSt Augustine, FL 32086-5201

Mailing Address10 Saint Johns Medical Park DrSt Augustine, FL 32086-5201 · (904) 770-2686

Phone(904) 770-2686

Sole ProprietorNo

Enumeration DateMay 30, 2013

Last NPPES UpdateFebruary 6, 2018

✔ NPI 1912344904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN21757

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

10 SAINT JOHNS MEDICAL PARK DR, St Augustine, FL 32086

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel Belotserkovsky Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32086 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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 Daniel Belotserkovsky's NPI number?

The NPI number for Daniel Belotserkovsky is 1912344904. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Where is Daniel Belotserkovsky located?

Daniel Belotserkovsky practices at 10 Saint Johns Medical Park Dr, St Augustine, FL 32086. The listed phone number is (904) 770-2686.

What is Daniel Belotserkovsky's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Daniel Belotserkovsky enrolled in Medicare?

Yes. Daniel Belotserkovsky is registered in the Medicare PECOS enrollment system.

What insurance does Daniel Belotserkovsky accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 14 other insurers list Daniel Belotserkovsky 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 Daniel Belotserkovsky was last updated on February 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.