npidexNPI registry + Medicare data

TIVON SIDORSKY, MD, MBA, FAAD

Dermatology Physician · PLYMOUTH, MA

Individual Active NPI 1285952846

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20241,91514,002$3,735,506$978,194$718,032
20231,89114,629$3,790,778$1,024,855$749,880
20221,86312,728$3,516,361$964,544$702,998

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
17003Destruction of precancer skin growth, 2-14 growths5,078$7$5
17000Destruction of precancer skin growth, 1 growth1,728$57$42
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1,471$92$61
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1,168$129$90
11102Biopsy of related skin growth, first growth655$99$73
11103Biopsy of related skin growth, each additional growth302$51$40
17110Destruction of skin growth, 1-14 growths207$117$81
11602Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm177$125$100
17262Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm140$156$114
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more129$57$40
13121Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm128$433$336
J7308Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)104$390$276

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Dermatology Physician207N00000X✓258818MA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Dermatology Physician providers in Massachusetts

See all Dermatology Physician providers in Massachusetts →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.