Active NPI 1225287576 Individual Practitioner Female Practitioner

Dr. Ivette M Sosa Seda , MD

Dermatology • St Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ivette Sosa Seda, MD is a certified Dermatology practicing in St Augustine, FL. With approximately 18 years of clinical experience since graduating from University Of Puerto Rico School Of Medicine in 2008, Dr. Sosa Seda delivers high-quality medical care to the local community at 1100 S PONCE DE LEON BLVD STE 3B.

Dr. Sosa Seda is affiliated with Park Avenue Dermatology Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, 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

1100 S Ponce De Leon Blvd Ste 3b

St Augustine, FL 320846013

Telephone 8133211786

Fax 8133211787

Associated Practice Facility / Clinic

🏢 David J Gross Md Pa Facility NPI 1457501934

Medicare Profile & Education

Medical School

University Of Puerto Rico School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in St Augustine, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -2.2 yrs vs City Avg

City Avg: 20.2 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

9 Specialists

Practicing in St Augustine, FL (1273 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

21.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sosa Seda (18 Years) 18 Yrs

St Augustine Specialty Average (20.2 Years) 20.2 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	734	137	$8.24	$6.59
99213 Established patient office or other outpatient visit, typically 15 minutes	336	298	$116.70	$93.79
17000 Destruction of skin growth	188	172	$85.93	$52.91
11102 Tangential biopsy of single skin lesion	175	167	$126.15	$92.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	151	$164.79	$131.76
17110 Destruction of up to 14 skin growths	107	100	$142.94	$112.58
11103 Biopsy of related skin growth, each additional growth	77	56	$63.32	$50.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$144.07	$115.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$216.42	$169.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$72.33	$58.22
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	16	$226.95	$177.71
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	17	$384.94	$310.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,607	383	$12.88	$6.32
99213 Established patient office or other outpatient visit, typically 15 minutes	860	633	$179.23	$88.26
17000 Destruction of skin growth	576	453	$132.43	$48.20
11102 Tangential biopsy of single skin lesion	416	341	$199.19	$86.77
17110 Destruction of up to 14 skin growths	298	256	$222.14	$106.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	153	$254.13	$125.45
11103 Biopsy of related skin growth, each additional growth	147	94	$99.01	$47.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$224.44	$108.93
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	68	35	$782.22	$384.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	57	$111.87	$55.18
96574 Application of light with debridement to destroy precancer skin growth	52	35	$540.78	$267.45
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	44	38	$353.55	$162.66
17004 Destruction of precancer skin growth, 15 or more growths	38	35	$333.60	$164.97
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	32	$601.94	$285.50
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	23	$485.50	$119.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$332.87	$164.34
11200 Removal of skin tag, 1-15 skin tags	19	19	$180.66	$61.22
11104 Punch biopsy, first skin growth	16	15	$247.28	$118.28
69100 Biopsy of ear	16	16	$191.23	$65.07
11900 Injection into skin growth, 1-7 growths	15	11	$112.40	$46.57
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	12	$374.56	$177.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,581	477	$13.14	$6.48
99213 Established patient office or other outpatient visit, typically 15 minutes	1,091	733	$181.70	$89.79
17000 Destruction of skin growth	725	537	$134.19	$46.84
11102 Tangential biopsy of single skin lesion	491	395	$203.18	$87.81
17110 Destruction of up to 14 skin growths	417	328	$224.72	$109.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	178	$255.12	$126.29
11103 Biopsy of related skin growth, each additional growth	167	112	$101.76	$49.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$226.40	$112.14
17004 Destruction of precancer skin growth, 15 or more growths	120	97	$334.86	$165.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	99	$112.92	$55.64
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	74	69	$357.16	$167.38
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	58	37	$784.27	$388.67
96574 Application of light with debridement to destroy precancer skin growth	55	37	$558.70	$276.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$337.66	$160.90
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	38	34	$490.00	$121.97
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	38	37	$606.78	$289.47
11200 Removal of skin tag, 1-15 skin tags	37	35	$180.08	$55.43
11105 Punch biopsy, each additional skin growth	31	13	$118.64	$58.58
11104 Punch biopsy, first skin growth	29	28	$252.90	$124.99
69100 Biopsy of ear	26	26	$193.68	$73.35
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	26	26	$293.58	$120.23
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$560.06	$138.81
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	13	11	$857.34	$426.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	889	153	$12.60	$6.33
99213 Established patient office or other outpatient visit, typically 15 minutes	353	340	$182.50	$91.48
17000 Destruction of skin growth	196	183	$130.59	$51.06
11102 Tangential biopsy of single skin lesion	132	128	$203.60	$96.32
17110 Destruction of up to 14 skin growths	89	87	$223.02	$111.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	76	$258.07	$130.14
11103 Biopsy of related skin growth, each additional growth	57	41	$103.68	$52.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$225.97	$113.18
17004 Destruction of precancer skin growth, 15 or more growths	38	38	$328.02	$164.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$111.96	$55.95
11200 Removal of skin tag, 1-15 skin tags	11	11	$179.00	$61.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	179	156	$117.00	$72.11
17003 Destruction of precancer skin growth, 2-14 growths	157	39	$19.00	$5.29
99202 New patient office or other outpatient visit, typically 20 minutes	91	91	$125.00	$74.05
11100 Biopsy of single growth of skin and/or tissue	68	66	$177.00	$96.27
17110 Destruction of up to 14 skin growths	63	60	$191.00	$108.07
17000 Destruction of skin growth	62	59	$135.00	$54.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$183.00	$107.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	40	$73.00	$43.54
11101 Biopsy of each additional growth of skin and/or tissue	20	15	$99.00	$32.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$178.00	$106.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	157	38	$28.44	$2.26
17003 Destruction of precancer skin growth, 2-14 growths	139	26	$7.94	$5.27
99213 Established patient office or other outpatient visit, typically 15 minutes	98	86	$104.83	$49.43
99202 New patient office or other outpatient visit, typically 20 minutes	65	65	$116.02	$49.08
17000 Destruction of skin growth	57	54	$101.28	$49.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	54	$57.03	$41.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	45	$154.64	$76.61
11100 Biopsy of single growth of skin and/or tissue	47	45	$156.30	$40.51
99213 Established patient office or other outpatient visit, typically 15 minutes	44	44	$92.35	$68.31
11100 Biopsy of single growth of skin and/or tissue	41	41	$141.27	$91.88
17000 Destruction of skin growth	38	37	$90.81	$51.69
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$115.45	$72.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$121.32	$100.70
17110 Destruction of up to 14 skin growths	24	23	$161.90	$94.61
17110 Destruction of up to 14 skin growths	23	23	$70.22	$57.49
99201 New patient office or other outpatient visit, typically 10 minutes	18	18	$47.77	$40.88

Medical Specialties & State Licenses

CMS Verified: 2026-07-01

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL ME133840

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.

Hospital & Practice Group Affiliations

Park Avenue Dermatology Pa

906 Park Ave, Orange Park, FL 320734120

Phone: 9045410315

Secondary Practice Locations

3200 3rd St S

Jacksonville Beach, FL 322506096

Phone: 8133211786

Practice Associates & Co-Workers

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

40 Associated Practitioners

Megan Mcgill , PA-C

Physician Assistant

NPI 1013678887

Physician Assistant (Certified)

Brandi Broughton , PHYSICIAN ASSISTANT

Physician Assistant

NPI 1043406481

PHYSICIANASSISTANT

Dr. George Vonhilsheimer , MD

Dermatology

NPI 1063519254

Doctor of Medicine (M.D.)

Noreen Godfrey , PA-C

Physician Assistant

NPI 1063536670

Physician Assistant (Certified)

Jill Stchur , PA

Physician Assistant

NPI 1063958304

Physician Assistant

Chris Narsesian , NP

Nurse Practitioner - Family

NPI 1073159513

Nurse Practitioner

Career & Practice History Timeline

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

19 Historical Events

📍

Updated Practice Location July 01, 2026

Registered at 1100 S PONCE DE LEON BLVD STE 3B, ST AUGUSTINE, FL 320846013 (Tel: 8133211786)

📍

Updated Business Mailing Address July 01, 2026

Registered at 18228 N US HIGHWAY 41, LUTZ, FL 335494400 (Tel: 8133211786)

📍

Updated Practice Location May 01, 2025

Registered at 15255 MAX LEGGET PKWY STE 5100, JACKSONVILLE, FL 322187274 (Tel: 9045410315)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2024

Dermatology (License #ME133840 in FL)

📍

Updated Practice Location December 13, 2023

Registered at 906 PARK AVE, ORANGE PARK, FL 320734120 (Tel: 9045410315)

📍

Updated Business Mailing Address December 13, 2023

Registered at 906 PARK AVE, ORANGE PARK, FL 320734120 (Tel: 9045410315)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2023

Student in an Organized Health Care Education/Training Program

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dermatology (License #55787 in MN)

✅

NPI Profile Active October 05, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 05, 2017

Registered at 1551 RIVERSIDE AVE, JACKSONVILLE, FL 322044124 (Tel: 9043544488)

📍

Updated Business Mailing Address October 05, 2017

Registered at 151 SOUTHHALL LN STE 300, MAITLAND, FL 327517172 (Tel: 4078752080)

👤

Provider Name / Credentials Updated October 05, 2017

Recorded as IVETTE SOSA SEDA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2017

Dermatology (License #ME133840 in FL)

✅

NPI Profile Active August 07, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 07, 2013

Registered at 700 HEWITT BLVD, RED WING, MN 550662848 (Tel: 6512675000)

📍

Updated Business Mailing Address August 07, 2013

Registered at 701 HEWITT BLVD, RED WING, MN 550662848 (Tel: 6512675000)

👤

Provider Name / Credentials Updated August 07, 2013

Recorded as IVETTE SOSA-SEDA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2013

Dermatology (License #55787 in MN)

🟢

Initial NPI Registration & Enumeration September 11, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1225287576

Entity Type:

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

Enumeration Date: September 11, 2008

Last Update: July 01, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

18228 N Us Highway 41

Lutz, FL 335494400

Phone: 8133211786

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.