JOHNNY GURGEN D.O.
NPI 1962666966
Dermatology in Lady Lake, FL

Active since July 18, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
920 ROLLING ACRES RD UNIT 203, LADY LAKE, FL 32159(352) 435-7695(352) 435-7453 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Sep 26, 2018 (2 updates tracked since 2018).

About Johnny Gurgen D.o. NPPES

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

JOHNNY GURGEN D.O. (NPI 1962666966) is an individual dermatology provider in Lady Lake, Florida, licensed in Florida (OS10423) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Leesburg, and is a graduate of Oakland College Of Medicine And Surgery (2006).

NPPES Registry Identity

NPI1962666966
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJOHNNY GURGENCredential: D.O.
Location Address920 ROLLING ACRES RD UNIT 203Lady Lake, FL 32159-5029
Mailing Address920 Rolling Acres Rd Unit 203Lady Lake, FL 32159-5029 · (352) 435-7695 · Fax (352) 435-7453
Fax(352) 435-7453
Sole ProprietorYes
Medical School CMSOakland College Of Medicine And SurgeryGraduated 2006
Enumeration DateJuly 18, 2008
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1962666966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in FL · OS10423
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 ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License OS10423 (FL)
920 ROLLING ACRES RD UNIT 203, Lady Lake, FL 32159

Secondary Practice Location 1

Location 11340 Citizens BlvdLeesburg, FL 34748-3924 · Phone (352) 435-7695

Accepted Insurance

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

Johnny Gurgen D.o. 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 ID2264556331
PECOS Enrollment IDI20100825001007
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 44

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.

Superficial and/or low voltage radiation treatment delivery 77401
Superficial and/or low voltage radiation treatment delivery is a non-invasive procedure used to treat certain diseases like skin cancer. It uses low energy radiation to target and destroy abnormal cells, aiding in halting disease progression.
9,018 services447 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
5,622 services1,539 patients
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280
This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.
5,307 services426 patients
Destruction of precancer skin growth, 2-14 growths 17003
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.
4,755 services821 patients
Ultrasonic guidance for placement of radiation therapy fields G6001
Ultrasonic guidance for radiation therapy fields involves using sound waves to create images of the treatment area. This helps to precisely locate the area needing radiation therapy, ensuring the treatment is directed accurately, minimizing harm to healthy tissues.
3,385 services233 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.
2,604 services1,498 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32159 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.

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
Individually scored

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
94%963 patients4/55-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 2

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

Dermatology
920 ROLLING ACRES RD UNIT 203
LADY LAKE, FL 32159
Nurse Practitioner
920 ROLLING ACRES RD UNIT 203
LADY LAKE, FL 32159

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 Johnny Gurgen's NPI number?

The NPI number for Johnny Gurgen is 1962666966. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Where is Johnny Gurgen located?

Johnny Gurgen practices at 920 Rolling Acres Rd Unit 203, Lady Lake, FL 32159. The listed phone number is (352) 435-7695.

What is Johnny Gurgen's specialty?

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

Is Johnny Gurgen enrolled in Medicare?

Yes. Johnny Gurgen 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.

What insurance does Johnny Gurgen accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Johnny Gurgen 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 Johnny Gurgen was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.