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Deactivated NPI 1376519645 Deactivated / Inactive NPI Male Practitioner

Dr. Michael J. Decosmo , DO

Dermatology • Cherry Hill, NJ

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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, Dr. Michael Decosmo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 27, 2006
NPI Deactivation Date September 11, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Decosmo, DO was a registered Dermatology practicing in Cherry Hill, NJ. Throughout an active medical career spanning 18 years, Dr. Decosmo provided care at the practice location at 2201 CHAPEL AVE W until profile deactivation on 2024-09-11.

Historical Medicare Part B clinical services included established patient outpatient office visit, destruction of skin growth, destruction of precancer skin growth, 2-14 growths. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2201 Chapel Ave W
Suite 102

Cherry Hill, NJ 080022048

Telephone 8566627883
Fax 8566625838
Associated Practice Facility / Clinic
🏢 Rowansom Dept Of Pathology Facility NPI 1376513309

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Cherry Hill, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.5 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Cherry Hill, NJ (444 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
503 294 $85.00 $73.84
17000 Destruction of skin growth
156 102 $200.64 $65.75
17003 Destruction of precancer skin growth, 2-14 growths
106 73 $100.00 $5.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
93 93 $150.00 $109.18
17110 Destruction of up to 14 skin growths
48 42 $250.00 $112.91
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
31 25 $625.81 $279.30
11900 Injection into skin growth, 1-7 growths
27 21 $150.00 $54.71
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
24 20 $25.00 $7.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
20 18 $75.50 $44.73
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
18 17 $613.89 $256.34
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
15 14 $623.33 $292.20

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License NJ MBO25986

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Melissa Bluford

Counselor - Mental Health

NPI 1003237876
Dr. Stuart Dubowitch , DO

Orthopaedic Surgery

NPI 1003861758

Doctor of Osteopathic Medicine (D.O.)

Nicholas Lord , PA-C

Physician Assistant

NPI 1013510767

Physician Assistant (Certified)

Joann Mccondichie , LSW, CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1023322062

Licensed Social Worker, Certified Alcohol and Drug Counselor

Allan Moticska , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033123898

Certified Registered Nurse Anesthetist

Dr. Matthew Everwine , DO

Internal Medicine - Gastroenterology

NPI 1033770474

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 11, 2024

Record deactivated on September 11, 2024

NPI Profile Active September 15, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 15, 2010

Registered at 2201 CHAPEL AVE W, SUITE 102, CHERRY HILL, NJ 080022048 (Tel: 8566627883)

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Updated Business Mailing Address September 15, 2010

Registered at 1 GREENVALE RD, CHERRY HILL, NJ 080341703 (Tel: 8566678059)

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Provider Name / Credentials Updated September 15, 2010

Recorded as MICHAEL DECOSMO, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2010

Dermatology (License #MBO25986 in NJ)

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Initial NPI Registration & Enumeration February 27, 2006

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: 1376519645
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2006
Last Update: September 15, 2010
Deactivation Date: September 11, 2024

Mailing Address

1 Greenvale Rd

Cherry Hill, NJ 080341703

Phone: 8566678059

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.