GEORGE MICHAEL DMYTRENKO M.D., PH.D.
NPI 1104833557
Psychiatry & Neurology - Neurology in Pensacola, FL
NPI Status: Active since August 01, 2006
Contact Information
5153 N 9TH AVE
PENSACOLA, FL
ZIP 32504
Phone: (850) 416-2554
Fax: (850) 416-2536
- Individual
- Male
- Psychiatry & Neurology
- Neurology
- PECOS Enrolled
- Medicare Quality Reporting
About GEORGE DMYTRENKO
This page provides the complete NPI Profile along with additional information for George Dmytrenko, a provider established in Pensacola, Florida with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1104833557 assigned on August 2006. The practitioner's primary taxonomy code is 2084N0400X with license number ME0062184 (FL). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1104833557
- Provider Name
- GEORGE MICHAEL DMYTRENKO M.D., PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5153 N 9TH AVE PENSACOLA, FL 32504
- Location Phone
- (850) 416-2554
- Location Fax
- (850) 416-2536
- Mailing Address
- PO BOX 2699 PENSACOLA, FL 32513
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-01-2006
- Last Update Date
- 06-24-2010
- Code Navigator
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
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME0062184
- License State
- FL
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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.
*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 |
|---|---|---|---|
| 17997 | MEDICARE ID-TYPE UNSPECIFIED (04) | FL | |
| 371074200 | MEDICAID (05) | FL | |
| B69890 | MEDICARE UPIN (02) | FL |
Medicare Participation & PECOS Enrollment Status
George Dmytrenko 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
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 32504 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $130.04
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $32.51
- 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 99214
- Average Established Patient Price $99.16
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $24.79
- 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 37% | 510 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Closing the Referral Loop: Receipt of Specialist Report | 27% | 248 |
| Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred | ||
| Colorectal Cancer Screening | 38% | 938 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Dementia: Cognitive Assessment | 5% | 37 |
| Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period | ||
| Documentation of Current Medications in the Medical Record | 95% | 3078 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 92% | 4330 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 10% | 315 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Medication Reconciliation | 90% | 512 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 64% | 2004 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 49% | 1835 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 81% | 745 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide Patient Access | 99% | 2004 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 30% | 2004 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 8 | 3 | 3 | 5 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 16 | 3 | 6 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 6 + 3 + 6 + 5 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1104833557 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740282771 | THERESA M KEOHANE ARNP Individual | Nurse Practitioner (Pediatrics) | 5153 N 9TH AVE STE 300 PENSACOLA, FL 32504 (850) 484-6060 |
| 1215926308 | MRS. ELIZABETH EGBERT ALLEN M.S., C.G.C Individual | Genetic Counselor, MS | 5153 N 9TH AVE SUITE 201 PENSACOLA, FL 32504 (850) 416-2476 |
| 1114978459 | DR. ALEXA I CANADY MD Individual | Neurological Surgery | 5153 N 9TH AVE 302 PENSACOLA, FL 32504 (850) 416-2554 |
| 1679525133 | SETH FOWLER M.D. Individual | Internal Medicine | 5153 N 9TH AVE PENSACOLA, FL 32504 (850) 416-2477 |
| 1497709539 | DR. BRIAN LAWRENCE SONTAG DO Individual | Obstetrics & Gynecology | 5153 N 9TH AVE STE 205 PENSACOLA, FL 32504 (850) 416-2550 |
| 1639124548 | DR. JAIRAN LOIS DUKE ELMORE DO Individual | Obstetrics & Gynecology | 5153 N 9TH AVE PENSACOLA, FL 32504 (850) 416-2550 |
| 1275571135 | DR. TODD DANIEL STALNAKER DO Individual | Obstetrics & Gynecology | 5153 N 9TH AVE 205 PENSACOLA, FL 32504 (850) 416-2550 |
| 1477591238 | DR. WILLIAM R LILE DO Individual | Obstetrics & Gynecology | 5153 N 9TH AVE 205 PENSACOLA, FL 32504 (850) 416-2550 |
| 1114943685 | DR. JEFFREY P. CHICOLA MD Individual | Otolaryngology (Pediatric Otolaryngology) | 5153 N 9TH AVE PENSACOLA, FL 32504 (850) 505-4700 |
| 1023034592 | MS. SUSAN LEIGH DIAMOND PA-C Individual | Physician Assistant | 5153 N 9TH AVE PENSACOLA, FL 32504 (850) 505-4700 |
| 1932125408 | DR. BRANDON J. DORION MD Individual | Pediatrics (Pediatric Rheumatology) | 5153 N 9TH AVE PENSACOLA, FL 32504 (850) 505-4700 |
| 1750307229 | MR. GLENN C HILDRETH RRT Individual | Respiratory Therapist, Certified | 5153 N 9TH AVE PENSACOLA, FL 32504 (850) 505-4700 |
| 1356368963 | DR. JOSEPH P. DAVENPORT MD Individual | Pediatrics (Pediatric Cardiology) | 5153 N 9TH AVE PENSACOLA, FL 32504 (850) 505-4700 |
| 1871507194 | DR. HELEN Y HSIANG MD Individual | Pediatrics (Pediatric Endocrinology) | 5153 N 9TH AVE PENSACOLA, FL 32504 (850) 505-4700 |
| 1780698001 | RYAN K KRASNOSKY PAC Individual | Physician Assistant (Surgical) | 5153 N 9TH AVE PENSACOLA, FL 32504 (850) 505-4700 |
| 1639185077 | DR. JEFFREY H. SCHWARTZ MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 5153 N 9TH AVE PENSACOLA, FL 32504 (850) 505-4700 |
| 1033272604 | MRS. STEPHANIE SHARPLES FRANCIS MS Individual | Genetic Counselor, MS | 5153 N 9TH AVE SUITE 201 PENSACOLA, FL 32504 (850) 416-4025 |
| 1447395975 | NEUROPSYCHOLOGY CENTER PL Organization | Clinical Neuropsychologist | 5153 N 9TH AVE SUITE 304 PENSACOLA, FL 32504 (850) 484-7800 |
| 1609901487 | DR. LAWRENCE KING III M.D. Individual | Psychiatry & Neurology (Neurology) | 5153 N 9TH AVE SUITE 300 PENSACOLA, FL 32504 (850) 416-2554 |
| 1174657332 | INFECTIOUS DISEASES ASSOCIATES OF NORTHWEST FLORIDA PA Organization | Internal Medicine (Infectious Disease) | 5153 N 9TH AVE SUITE 305 PENSACOLA, FL 32504 (850) 476-3131 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104833557, enumerated in the NPI registry as an "individual" on August 01, 2006
The provider is located at 5153 N 9th Ave Pensacola, Fl 32504 and the phone number is (850) 416-2554
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.
Medicare beneficiaries should expect a typical cost of $130.04 with an average copayment of $32.51 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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