Active NPI 1023284536 Individual Practitioner Female Practitioner

Olga Ulitsky

Dermatology • Nokomis, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Olga Ulitsky is a certified Dermatology practicing in Nokomis, FL. With approximately 22 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 2004, Olga Ulitsky delivers high-quality medical care to the local community at 409 SERANO WAY UNIT 101.

Olga Ulitsky accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

409 Serano Way Unit 101

Nokomis, FL 342755241

Telephone 9414848222

Associated Practice Facility / Clinic

🏢 Justin Ross Wasserman Md Pl Facility NPI 1891098612

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Nokomis, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +0.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Nokomis, FL (1273 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ulitsky (22 Years) 22 Yrs

Nokomis Specialty Average (21.5 Years) 21.5 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
17003 Destruction of precancer skin growth, 2-14 growths	2,323	322	$9.47	$6.22
99213 Established patient office or other outpatient visit, typically 15 minutes	829	506	$136.98	$88.28
11102 Tangential biopsy of single skin lesion	781	516	$153.30	$94.07
11103 Biopsy of related skin growth, each additional growth	726	277	$78.44	$47.81
17000 Destruction of skin growth	550	407	$98.10	$47.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	434	268	$194.55	$124.59
17004 Destruction of precancer skin growth, 15 or more growths	190	148	$246.11	$160.11
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	142	52	$404.59	$389.09
96574 Application of light with debridement to destroy precancer skin growth	142	52	$421.52	$258.55
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	132	86	$371.04	$117.53
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	93	67	$651.54	$404.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$169.22	$109.08
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	81	64	$460.07	$290.67
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	63	45	$259.73	$82.84
69100 Biopsy of ear	62	53	$147.95	$61.13
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	44	37	$608.12	$379.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$253.62	$163.80
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	33	28	$719.97	$451.22
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	25	21	$383.04	$121.78
11901 Injection into skin growth, more than 7 growths	21	12	$106.14	$66.19
40490 Biopsy of lip	15	15	$188.63	$117.69
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	13	$423.27	$134.53
67810 Biopsy of eyelid	13	12	$275.26	$173.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,072	292	$9.47	$6.46
99213 Established patient office or other outpatient visit, typically 15 minutes	904	528	$136.98	$89.87
11102 Tangential biopsy of single skin lesion	753	478	$153.30	$98.87
11103 Biopsy of related skin growth, each additional growth	576	243	$78.44	$49.68
17000 Destruction of skin growth	518	356	$98.10	$49.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	394	241	$194.55	$127.32
17004 Destruction of precancer skin growth, 15 or more growths	194	145	$246.11	$167.61
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	163	100	$371.04	$122.54
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	152	57	$404.59	$384.79
96574 Application of light with debridement to destroy precancer skin growth	152	57	$421.52	$271.92
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	140	102	$651.54	$420.81
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	104	75	$608.12	$395.78
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	83	67	$259.73	$85.48
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	71	50	$719.97	$471.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$169.22	$112.46
11901 Injection into skin growth, more than 7 growths	54	20	$106.14	$67.80
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	45	37	$383.04	$125.77
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	38	34	$407.13	$137.04
69100 Biopsy of ear	36	34	$147.95	$63.99
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	31	31	$460.07	$301.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$253.62	$166.99
11900 Injection into skin growth, 1-7 growths	19	15	$84.05	$49.24
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	13	$423.27	$139.54
40490 Biopsy of lip	12	11	$188.63	$122.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,988	257	$9.47	$6.60
99213 Established patient office or other outpatient visit, typically 15 minutes	933	537	$136.98	$91.05
11102 Tangential biopsy of single skin lesion	795	511	$153.30	$99.40
11103 Biopsy of related skin growth, each additional growth	757	287	$78.44	$51.01
17000 Destruction of skin growth	438	338	$98.10	$49.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	326	208	$194.55	$128.27
17004 Destruction of precancer skin growth, 15 or more growths	183	142	$246.11	$168.23
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	178	61	$404.59	$388.30
96574 Application of light with debridement to destroy precancer skin growth	178	61	$421.52	$280.64
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	132	83	$371.04	$122.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	122	122	$169.22	$113.49
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	116	86	$651.54	$430.40
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	96	72	$608.12	$401.08
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	63	53	$259.73	$87.12
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	52	32	$719.97	$477.57
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	44	35	$407.13	$135.42
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	38	24	$383.04	$137.18
11901 Injection into skin growth, more than 7 growths	36	12	$106.14	$70.31
69100 Biopsy of ear	34	31	$147.95	$57.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$253.62	$169.55
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	31	30	$594.17	$383.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$83.64	$56.86
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	18	$423.27	$140.92
11900 Injection into skin growth, 1-7 growths	17	16	$84.05	$45.09
40490 Biopsy of lip	15	14	$188.63	$123.19
67810 Biopsy of eyelid	12	12	$278.40	$185.71
11104 Punch biopsy, first skin growth	12	12	$192.74	$126.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,804	248	$9.36	$6.33
11103 Biopsy of related skin growth, each additional growth	800	309	$75.35	$52.84
99213 Established patient office or other outpatient visit, typically 15 minutes	795	470	$131.20	$90.66
11102 Tangential biopsy of single skin lesion	791	500	$148.48	$101.20
17000 Destruction of skin growth	436	320	$95.98	$48.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	347	214	$179.96	$127.39
17004 Destruction of precancer skin growth, 15 or more growths	214	162	$233.80	$164.50
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	164	101	$352.17	$124.93
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	138	47	$404.59	$389.12
96574 Application of light with debridement to destroy precancer skin growth	138	47	$393.54	$280.73
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	126	93	$630.34	$435.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$164.85	$113.49
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	102	81	$577.44	$409.28
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	64	43	$695.48	$485.62
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	59	41	$393.47	$146.52
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	49	43	$245.43	$89.30
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	39	25	$373.31	$132.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$243.80	$169.11
11901 Injection into skin growth, more than 7 growths	34	12	$102.98	$66.27
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	30	26	$580.80	$400.59
69100 Biopsy of ear	30	29	$144.58	$64.80
11900 Injection into skin growth, 1-7 growths	20	16	$75.42	$38.09
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	19	$406.71	$142.59
40490 Biopsy of lip	19	18	$171.08	$127.08
11104 Punch biopsy, first skin growth	13	12	$187.53	$129.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$83.64	$56.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,423	217	$6.34	$5.93
11103 Biopsy of related skin growth, each additional growth	801	282	$54.69	$53.58
11102 Tangential biopsy of single skin lesion	744	462	$95.31	$92.90
99213 Established patient office or other outpatient visit, typically 15 minutes	619	381	$76.10	$75.76
17000 Destruction of skin growth	404	289	$53.01	$44.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	329	240	$111.71	$109.96
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	185	111	$152.91	$125.12
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	159	108	$437.60	$435.02
17004 Destruction of precancer skin growth, 15 or more growths	144	109	$161.45	$159.06
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	133	51	$404.59	$391.71
96574 Application of light with debridement to destroy precancer skin growth	132	51	$261.57	$263.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$109.94	$109.32
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	86	66	$402.70	$403.07
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	77	53	$485.17	$484.89
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	73	50	$188.76	$143.21
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	49	36	$154.48	$129.38
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	47	36	$393.56	$396.93
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	41	31	$99.99	$86.05
69100 Biopsy of ear	33	31	$103.32	$66.23
11901 Injection into skin growth, more than 7 growths	29	14	$70.28	$68.49
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$76.34	$77.13
11104 Punch biopsy, first skin growth	20	17	$121.84	$122.97
11900 Injection into skin growth, 1-7 growths	19	13	$53.64	$45.26
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	13	$195.13	$151.80
13100 Complicated repair of wound of trunk, 1.1-2.5 cm	13	12	$343.38	$333.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,779	261	$9.95	$5.76
11103 Biopsy of related skin growth, each additional growth	814	298	$62.31	$53.62
11102 Tangential biopsy of single skin lesion	763	468	$103.44	$89.71
99213 Established patient office or other outpatient visit, typically 15 minutes	692	418	$79.95	$74.75
17000 Destruction of skin growth	523	358	$60.57	$47.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	370	283	$126.41	$109.96
17004 Destruction of precancer skin growth, 15 or more growths	189	126	$187.94	$154.10
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	139	94	$163.81	$127.39
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	131	45	$404.59	$393.04
96574 Application of light with debridement to destroy precancer skin growth	129	45	$251.22	$250.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$117.79	$109.55
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	114	79	$472.79	$438.67
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	65	51	$442.02	$404.14
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	55	44	$253.02	$245.52
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	41	33	$519.26	$482.99
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	31	28	$187.57	$147.43
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	31	27	$81.80	$76.33
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	23	$180.50	$131.06
69100 Biopsy of ear	25	21	$103.26	$94.92
11900 Injection into skin growth, 1-7 growths	24	20	$59.15	$44.80
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	24	19	$115.91	$115.76
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$87.28	$77.12
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	20	$107.37	$85.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$44.99	$44.94
11104 Punch biopsy, first skin growth	16	16	$126.89	$120.30
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	13	$165.96	$144.54
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	12	12	$471.24	$401.01
67810 Biopsy of eyelid	12	12	$251.86	$178.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,679	245	$10.34	$5.30
11101 Biopsy of each additional growth of skin and/or tissue	804	293	$38.56	$32.68
11100 Biopsy of single growth of skin and/or tissue	739	449	$106.09	$95.03
99213 Established patient office or other outpatient visit, typically 15 minutes	713	414	$77.57	$71.52
17000 Destruction of skin growth	459	336	$60.35	$44.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	239	189	$127.60	$106.42
17004 Destruction of precancer skin growth, 15 or more growths	134	101	$176.96	$142.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$111.85	$106.16
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	127	47	$404.59	$398.20
96574 Application of light with debridement to destroy precancer skin growth	118	46	$238.73	$234.91
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	108	81	$241.98	$228.30
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	84	70	$454.35	$419.39
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	77	56	$84.13	$73.12
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	77	60	$150.95	$124.80
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	50	40	$510.74	$473.19
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	43	37	$423.59	$388.11
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	35	29	$198.36	$147.40
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	33	24	$142.67	$110.14
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	22	18	$171.33	$142.04
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	20	$141.36	$127.10
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	16	16	$184.78	$142.07
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$107.97	$82.94
69100 Biopsy of ear	13	12	$95.54	$58.08
11621 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	11	11	$250.68	$116.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,328	197	$10.70	$5.65
11100 Biopsy of single growth of skin and/or tissue	572	365	$111.02	$93.61
11101 Biopsy of each additional growth of skin and/or tissue	513	207	$44.62	$33.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	446	320	$124.86	$106.84
99213 Established patient office or other outpatient visit, typically 15 minutes	371	255	$85.89	$72.46
17000 Destruction of skin growth	363	258	$67.64	$47.39
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	136	48	$359.74	$354.11
17004 Destruction of precancer skin growth, 15 or more growths	119	90	$203.11	$147.16
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	118	48	$140.50	$129.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$126.35	$108.02
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	79	60	$465.61	$421.50
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	75	51	$145.23	$123.12
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	56	42	$458.40	$387.41
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	53	45	$278.86	$230.49
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	49	39	$115.58	$74.44
69100 Biopsy of ear	43	34	$93.25	$64.40
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	43	34	$533.97	$474.96
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	21	$113.09	$82.62
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	27	24	$164.90	$140.36
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	17	$154.80	$127.78
11900 Injection into skin growth, 1-7 growths	17	15	$46.86	$32.50
40490 Biopsy of lip	15	15	$140.90	$125.21

Medical Specialties & State Licenses

CMS Verified: 2025-09-23

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL ME107449

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.

Secondary Practice Locations

1111 Avenida Del Circo

Venice, FL 342854108

Phone: 9414848222

Practice Associates & Co-Workers

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

4 Associated Practitioners

Danielle Decubellis , ARNP

Nurse Practitioner - Family

NPI 1023593142

Advanced Registered Nurse Practitioner

Dr. Justin Wasserman , MD

Dermatology

NPI 1043453970

Doctor of Medicine (M.D.)

Dr. Steven Wasserman , MD PL

Dermatology - Dermatopathology

NPI 1174516181

MDPL

Penelope Skopis

Dermatology

NPI 1952806531

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2025

Dermatology (License #ME107449 in FL)

📍

Updated Practice Location August 18, 2025

Registered at 409 SERANO WAY UNIT 101, NOKOMIS, FL 342755241 (Tel: 9414848222)

📍

Updated Business Mailing Address August 18, 2025

Registered at 409 SERANO WAY UNIT 101, NOKOMIS, FL 342755241 (Tel: 9414848222)

✅

NPI Profile Active March 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 09, 2015

Registered at 1111 AVENIDA DEL CIRCO, VENICE, FL 342854108 (Tel: 9414848222)

📍

Updated Business Mailing Address March 09, 2015

Registered at 1111 AVENIDA DEL CIRCO, VENICE, FL 342854108 (Tel: 9414848222)

👤

Provider Name / Credentials Updated March 09, 2015

Recorded as OLGA ULITSKY

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2015

Dermatology (License #036.120207 in IL)

🟢

Initial NPI Registration & Enumeration May 05, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1023284536

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 05, 2008

Last Update: September 23, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

409 Serano Way Unit 101

Nokomis, FL 342755241

Phone: 9414848222

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.