2026 NPPES data Procedural Dermatology Physician NPI 1265407290 D.O.
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DIMITRY PALCESKI, D.O.

Procedural Dermatology Physician in WINTER PARK, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
413
Medicare Part D claims · 179 beneficiaries · Procedural Dermatology Physician avg: 664
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
64.7258/100
▼ 18 pts below national avg 83.1 · [object Object]
Industry payments
$3.2K
168 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: DIMITRY PALCESKI, D.O. is a Procedural Dermatology Physician ([object Object]) practicing in WINTER PARK, Florida with a Medicare Part D prescribing footprint of 413 claims across 179 beneficiaries — 15% brand-name prescribing . Their CMS MIPS Final Score of 64.7258/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $3.2K across 168 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: DIMITRY PALCESKI, D.O. reported a CMS MIPS final score of 64.7258 out of 100, below the 83.1 national average, and filed 413 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

DIMITRY PALCESKI, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

DIMITRY PALCESKI, D.O. at a glance

Below national average

NPI registry status

Active

Issued 02/22/2006

NPI 1265407290

Primary specialty

Procedural Dermatology Physician

Niche

679 US NPIs in this specialty

Medicare Part D claims

413 38% vs specialty avg

2023 prescription claims

Specialty avg: 664

MIPS final score

64.7258/100 18.374199999999988% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Florida

How Procedural Dermatology Physician compares to other specialties among Florida providers

Florida providers

Procedural Dermatology Physician share within Florida

1. Procedural Dermatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Procedural Dermatology Physician share within Florida

Medicare quality performance — MIPS

DIMITRY PALCESKI, D.O.'s 2023 MIPS final score plotted against the Procedural Dermatology Physician national average

Below national average
MIPS Final Score
64.7258/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Procedural Dermatology Physician) — 64.7258/100 vs national avg 83.1

0%100%National avg83%64.7%
MIPS final score (Procedural Dermatology Physician) — 64.7258/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DIMITRY PALCESKI, D.O. is a Procedural Dermatology Physician provider practicing in WINTER PARK, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1265407290. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DIMITRY PALCESKI, D.O. appears in the CMS NPPES registry as a Procedural Dermatology Physician provider holding D.O. credentials at 440 W MORSE BLVD, WINTER PARK, FL, 32789, with a listed phone of (407) 895-8818. NPI 1265407290 was issued on 02/22/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PALCESKI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 413 prescription claims written by this provider, covering 179 Medicare beneficiaries and totaling roughly $280K in drug spend, split 15% brand-name and 85% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 64.7258/100 for the 2023 performance year (Quality 56.5923), compared with the national average of 83.1.

Procedural Dermatology Physician is a narrow specialty nationwide, with 679 enrolled providers across 48 states and an average of 664 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

440 W MORSE BLVD
WINTER PARK, FL 32789

Provider Details

NPI 1265407290
Specialty Procedural Dermatology Physician
Credentials D.O.
Gender Male
NPI Issued 02/22/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

64.7258
Final Score
Avg: 83.1
56.5923
Quality
62
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where DIMITRY PALCESKI, D.O. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

REFLECTIONS DERMATOLOGY AND CENTER FOR SKIN CARE PLLC
ORLANDO, FL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for DIMITRY PALCESKI, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$3.2K

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to DIMITRY PALCESKI, D.O.. To verify DIMITRY PALCESKI, D.O.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

DIMITRY PALCESKI, D.O. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 413 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

413
Total Claims
$280K
Total Drug Cost
179
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
532
Total Day Supply
13,659
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$268K
Generic Drug Cost
$12K
Antibiotic Claims
54

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.07
Gender Split
59% female / 41% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Doxycycline Hyclate
55
Mupirocin
54
Triamcinolone Acetonide
40
Ketoconazole
36
Dupixent Pen
Dupilumab
23
Minoxidil
19
Clobetasol Propionate
14
Fluorouracil
14

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Procedural Dermatology Physician Overview

How DIMITRY PALCESKI, D.O. fits within the Procedural Dermatology Physician landscape nationally.

679
Procedural Dermatology Physician Providers in US
48
States with Procedural Dermatology Physician
664
Avg Claims per Provider

DIMITRY PALCESKI, D.O.'s 413 claims are below the specialty average of 664.

Nearby Procedural Dermatology Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as PALCESKI.

Compare Procedural Dermatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DIMITRY PALCESKI, D.O.'s specialty?
DIMITRY PALCESKI, D.O. specializes in Procedural Dermatology Physician and practices in WINTER PARK, Florida. Credentials: D.O..
How much does DIMITRY PALCESKI, D.O. prescribe under Medicare Part D?
In 2023, DIMITRY PALCESKI, D.O. wrote 413 Medicare Part D claims totaling $280K in drug costs for 179 beneficiaries.
What is DIMITRY PALCESKI, D.O.'s Medicare quality score?
DIMITRY PALCESKI, D.O. has a CMS MIPS Final Score of 64.7258/100 (Quality: 56.5923). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DIMITRY PALCESKI, D.O. located?
DIMITRY PALCESKI, D.O. is located at 440 W MORSE BLVD, WINTER PARK, FL, 32789. Phone: (407) 895-8818.
What is DIMITRY PALCESKI, D.O.'s NPI number?
DIMITRY PALCESKI, D.O.'s National Provider Identifier (NPI) is 1265407290, issued on 02/22/2006.
Does DIMITRY PALCESKI, D.O. prescribe more brand-name or generic drugs?
DIMITRY PALCESKI, D.O.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $268K in brand drug costs.
How many Procedural Dermatology Physician providers are there in the US?
There are 679 Procedural Dermatology Physician providers across 48 states in the US. The average Procedural Dermatology Physician provider writes 664 Medicare Part D claims per year.
What drugs does DIMITRY PALCESKI, D.O. prescribe most often?
Based on 2023 Medicare Part D data, DIMITRY PALCESKI, D.O.'s most frequently prescribed drugs include Doxycycline Hyclate, Mupirocin, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DIMITRY PALCESKI, D.O. accept Medicare?
DIMITRY PALCESKI, D.O. appears in CMS Medicare data with 413 Part D claims and 179 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DIMITRY PALCESKI, D.O.'s credentials?
DIMITRY PALCESKI, D.O.'s NPI is 1265407290 with credentials D.O.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology