Active NPI 1306481155 Individual Practitioner Male Practitioner

Thomas Jeffrey Puskar , PA-C

Physician Assistant • Sebastian, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Thomas Puskar, PA-C is a certified Physician Assistant practicing in Sebastian, FL. With approximately 7 years of clinical experience since completing medical education in 2019, Thomas Puskar delivers high-quality medical care to the local community at 8745 N US HIGHWAY 1.

Thomas Puskar is affiliated with Divani Dermatology Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include membrane graft or membrane wrap, per square centimeter, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8745 N Us Highway 1

Sebastian, FL 329587524

Telephone 7722175362

Associated Practice Facility / Clinic

🏢 Divani Dermatology Llc Facility NPI 1255986113

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sebastian, FL

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -5.9 yrs vs City Avg

City Avg: 12.9 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

13 Specialists

Practicing in Sebastian, FL (10376 Statewide)

Telehealth Adoption Rate

15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Puskar (7 Years) 7 Yrs

Sebastian Specialty Average (12.9 Years) 12.9 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
Q4205 Membrane graft or membrane wrap, per square centimeter	2,226	243	$1524.08	$1338.67
17003 Destruction of precancer skin growth, 2-14 growths	1,578	355	$13.21	$5.58
17000 Destruction of skin growth	883	550	$137.85	$43.26
99213 Established patient office or other outpatient visit, typically 15 minutes	677	486	$186.15	$78.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	615	419	$261.42	$110.36
11102 Tangential biopsy of single skin lesion	404	319	$203.06	$74.47
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	306	159	$316.61	$130.54
17110 Destruction of up to 14 skin growths	230	192	$230.57	$92.98
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	170	108	$323.94	$134.43
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	149	139	$863.92	$362.67
11103 Biopsy of related skin growth, each additional growth	142	98	$101.51	$42.95
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	79	70	$496.03	$103.27
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	78	72	$806.19	$339.17
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	54	52	$1569.92	$661.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$229.00	$96.91
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	47	45	$1911.24	$804.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	44	$114.90	$48.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$342.07	$145.22
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	38	37	$245.95	$101.22
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	34	33	$353.11	$89.65
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	34	33	$1798.98	$741.00
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	32	31	$572.19	$120.38
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	29	29	$1447.31	$599.42
17004 Destruction of precancer skin growth, 15 or more growths	27	20	$340.25	$143.94
69100 Biopsy of ear	27	27	$194.95	$63.88
11104 Punch biopsy, first skin growth	26	25	$255.42	$105.04
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	26	25	$278.84	$112.96
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	21	20	$957.51	$393.82
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	11	$538.68	$226.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,096	416	$13.51	$5.64
17000 Destruction of skin growth	1,037	624	$139.05	$43.32
99213 Established patient office or other outpatient visit, typically 15 minutes	797	548	$186.55	$78.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	662	464	$263.57	$110.33
11102 Tangential biopsy of single skin lesion	515	401	$210.03	$78.21
Q4205 Membrane graft or membrane wrap, per square centimeter	492	67	$1523.87	$1460.26
17110 Destruction of up to 14 skin growths	290	229	$233.90	$93.76
Q4217 Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter	288	28	$1500.00	$1469.60
Q4194 Novachor, per square centimeter	277	35	$1060.00	$1013.52
11103 Biopsy of related skin growth, each additional growth	197	112	$104.07	$43.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	168	168	$234.44	$98.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	132	114	$116.57	$49.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$346.66	$146.02
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	114	106	$880.62	$368.22
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	108	61	$323.56	$135.31
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	105	69	$330.30	$133.57
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	94	84	$505.56	$106.72
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	54	52	$825.84	$341.89
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	47	42	$253.95	$97.45
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	41	31	$780.30	$384.85
96574 Application of light with debridement to destroy precancer skin growth	38	28	$570.80	$239.98
17004 Destruction of precancer skin growth, 15 or more growths	34	28	$350.96	$147.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	32	16	$2.15	$1.07
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	30	29	$980.47	$382.71
11900 Injection into skin growth, 1-7 growths	27	16	$117.82	$40.59
11104 Punch biopsy, first skin growth	26	26	$260.54	$109.50
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	23	23	$285.78	$116.98
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	21	$372.98	$139.67
69100 Biopsy of ear	22	21	$201.27	$59.59
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	21	$358.33	$88.83
10060 Simple or single drainage of skin abscess	22	22	$260.43	$109.54
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	19	19	$1595.59	$667.45
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$577.48	$122.18
10040 Acne surgery	15	15	$241.49	$101.46
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	11	$285.66	$105.02
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$256.10	$94.17
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	11	11	$814.72	$340.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,741	333	$13.86	$5.79
17000 Destruction of skin growth	673	480	$141.97	$44.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	522	367	$266.80	$111.73
99213 Established patient office or other outpatient visit, typically 15 minutes	439	336	$190.03	$79.67
11102 Tangential biopsy of single skin lesion	405	351	$215.39	$81.52
17110 Destruction of up to 14 skin growths	217	183	$238.07	$96.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	200	200	$353.49	$148.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	171	171	$237.94	$100.34
11103 Biopsy of related skin growth, each additional growth	161	103	$107.66	$44.78
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	86	72	$905.26	$379.13
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	56	49	$517.70	$108.67
17004 Destruction of precancer skin growth, 15 or more growths	50	42	$353.44	$148.19
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	46	43	$848.00	$349.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	37	20	$2.37	$1.17
11900 Injection into skin growth, 1-7 growths	34	22	$119.32	$39.03
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	31	30	$1003.67	$415.37
69100 Biopsy of ear	25	24	$204.82	$58.55
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	20	20	$158.46	$67.19
11104 Punch biopsy, first skin growth	16	16	$267.88	$112.37
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	15	15	$1610.18	$678.13
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	15	15	$827.68	$337.13
10060 Simple or single drainage of skin abscess	13	12	$262.70	$110.19
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$367.90	$83.70
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$591.70	$124.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$119.12	$49.97
10040 Acne surgery	11	11	$244.30	$102.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	64	23	$13.26	$5.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$353.80	$150.37
11102 Tangential biopsy of single skin lesion	36	36	$216.02	$86.71
17000 Destruction of skin growth	30	30	$137.78	$36.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$236.62	$100.56
11103 Biopsy of related skin growth, each additional growth	19	12	$110.64	$47.02

Medical Specialties & State Licenses

CMS Verified: 2021-01-28

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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

Divani Dermatology Llc

8745 N Us Hwy 1, Sebastian, FL 329587524

Phone: 7722175362

Practice Associates & Co-Workers

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

5 Associated Practitioners

Olga Accardi , FNP

Nurse Practitioner - Family

NPI 1164264974

Family Nurse Practitioner

Gunj Patel , PHYSICIAN ASSISTANT

Physician Assistant

NPI 1194522847

PHYSICIANASSISTANT

Scott Ahrndt , PA

Physician Assistant

NPI 1346394491

Physician Assistant

Dr. Divya Haryani , MD

Dermatology

NPI 1497134498

Doctor of Medicine (M.D.)

Anand Haryani

Dermatology - MOHS-Micrographic Surgery

NPI 1861812851

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 28, 2021

Registered at 8745 N US HIGHWAY 1, SEBASTIAN, FL 329587524 (Tel: 7722175362)

👤

Provider Name / Credentials Updated January 28, 2021

Recorded as THOMAS PUSKAR, PA-C

✅

NPI Profile Active November 14, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2019

Registered at 5355 E 1ST SQ SW, VERO BEACH, FL 329682249 (Tel: 7725597667)

📍

Updated Business Mailing Address November 14, 2019

Registered at 5355 E 1ST SQ SW, VERO BEACH, FL 329682249

👤

Provider Name / Credentials Updated November 14, 2019

Recorded as THOMAS PUSKAR

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2019

Physician Assistant

🟢

Initial NPI Registration & Enumeration November 14, 2019

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: 1306481155

Entity Type:

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

Enumeration Date: November 14, 2019

Last Update: January 28, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5355 E 1st Sq Sw

Vero Beach, FL 329682249

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.