ANTHONY JEROME PORTER MD NPI 1013957133

NPI Information

  • NPI: 1013957133
  • Provider Name: ANTHONY JEROME PORTER, MD
  • Classification: Dermatology - 207N00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1515 W NASA BLVD
    SUITE 101
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 308-0659

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NPI Details

Anthony Jerome Porter, MD is a dermatology in Melbourne, FL with 28 years of experience. The provider is 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. Anthony Jerome Porter, MD NPI is 1013957133. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1998

The provider's business location address is:

1515 W NASA BLVD
SUITE 101
MELBOURNE, FL
ZIP 32901-605
Phone: (321) 308-0659
Fax: (321) 309-2881

The NPI 1013957133 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg (HCPCS:J7345)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasonic guidance for placement of radiation therapy fields (HCPCS:G6001)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Superficial and/or low voltage radiation treatment delivery (HCPCS:77401)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Continuing radiation therapy consultation per week (HCPCS:77336)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11622)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11642)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
  • Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Simple radiation therapy planning (HCPCS:77261)
  • Punch biopsy, each additional skin growth (HCPCS:11105)
  • Biopsy of ear (HCPCS:69100)
  • Application of light with debridement to destroy precancer skin growth (HCPCS:96574)
  • Destruction of skin growth, 15 or more growths (HCPCS:17111)
  • Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11401)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:11641)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/7/2006 and was last updated on 9/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatology01058940AINDIANANo
2207N00000XDermatologyME96233FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1246877OTHERFLORIDAWELLCARE
2276029100MEDICAIDFLORIDA
37650363OTHERFLORIDAAETNA
4P00415676OTHERFLORIDARAILROAD MEDICARE
5H61306MEDICARE UPINFLORIDA
6AA195ZMEDICARE PINFLORIDA
71358244OTHERFLORIDAAETNA
855044OTHERFLORIDABLUE CROSS BLUE SHIELD
9AA195YMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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