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Deactivated NPI 1184807166 Deactivated / Inactive NPI Male Practitioner

Mikhail Lezhak , RPAC

Physician Assistant • Daytona Beach, FL

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mikhail Lezhak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 12, 2007
NPI Deactivation Date February 26, 2008
Total Practice Duration ~8 Years of Practice (2000 – 2008)

Professional Overview & Biography Verified Profile Summary

Mikhail Lezhak, RPAC was a registered Physician Assistant practicing in Daytona Beach, FL. Throughout an active medical career spanning 8 years, Mikhail Lezhak provided care at the practice location at 545 HEALTH BLVD until profile deactivation on 2008-02-26.

Mikhail Lezhak was affiliated with Advanced Urology Institute Llc and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, automated urinalysis test, ultrasound measurement of bladder capacity after voiding. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

545 Health Blvd

Daytona Beach, FL 321141493

Telephone 3862398540
Fax 3862488224
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Daytona Beach, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +16.0 yrs vs City Avg
City Avg: 10.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
110 Specialists

Practicing in Daytona Beach, FL (10376 Statewide)

Telehealth Adoption Rate
8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lezhak (26 Years) 26 Yrs
Daytona Beach Specialty Average (10.0 Years) 10.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
417 381 $315.28 $112.41
81003 Automated urinalysis test
359 339 $5.00 $2.19
51798 Ultrasound measurement of bladder capacity after voiding
252 238 $26.56 $11.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes
45 32 $112.93 $44.05
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
45 45 $40.00 $14.22
36415 Insertion of needle into vein for collection of blood sample
29 28 $14.69 $7.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
25 25 $325.80 $116.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
17 17 $417.06 $147.47
99213 Established patient office or other outpatient visit, typically 15 minutes
11 11 $225.91 $77.97

Medical Specialties & State Licenses

CMS Verified: 2021-02-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9107273

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Advanced Urology Institute Llc

609 W Highland Blvd, Inverness, FL 344524638

Phone: 3527269707

Advanced Urology Institute Llc

545 Health Blvd, Daytona Beach, FL 321141493

Phone: 3862398500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Scott Silas , MD

Orthopaedic Surgery

NPI 1073514253

Doctor of Medicine (M.D.)

NPI 1093211146

Doctor of Medicine (M.D.)

NPI 1134170202

Doctor of Medicine (M.D.)

Charles Powell

Physician Assistant

NPI 1295100717
NPI 1316978737

Doctor of Medicine (M.D.)

NPI 1346291259

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address July 31, 2019

Registered at 12109 COUNTY ROAD 103, OXFORD, FL 344842951 (Tel: 3522058981)

📍
Updated Practice Location February 19, 2019

Registered at 545 HEALTH BLVD, DAYTONA BEACH, FL 321141493 (Tel: 3862398540)

📍
Updated Business Mailing Address February 19, 2019

Registered at 545 HEALTH BLVD, DAYTONA BEACH, FL 321141493 (Tel: 3862398540)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2019

Physician Assistant (License #PA9107273 in FL)

📍
Updated Practice Location February 08, 2016

Registered at 655 W 8TH ST, UFJAX - DEPT. OF SURGERY (UROLOGY), JACKSONVILLE, FL 322096511 (Tel: 9042447340)

📍
Updated Business Mailing Address February 08, 2016

Registered at PO BOX 44008, UFJP - PROVIDER ENROLLMENT, JACKSONVILLE, FL 322314008 (Tel: 9042443199)

👤
Provider Name / Credentials Updated February 08, 2016

Recorded as MIKHAIL LEZHAK, RPAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2016

Physician Assistant (License #007606 in NY)

🔄
NPI Profile Reactivated March 18, 2008

Record officially reactivated for active practice on March 18, 2008

⚠️
NPI Profile Deactivated February 26, 2008

Record deactivated on February 26, 2008

🟢
Initial NPI Registration & Enumeration December 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184807166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2007
Last Update: February 11, 2021
Deactivation Date: February 26, 2008
Sole Proprietor: Yes

Mailing Address

12109 County Road 103

Oxford, FL 344842951

Phone: 3522058981

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.