Mikhail Lezhak , RPAC
Physician Assistant โข Daytona Beach, FL
545 Health Blvd
Daytona Beach, FL 321141493
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Mikhail Lezhak is listed in NPPES under Physician Assistant.
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NPI assigned on December 12, 2007; this date does not establish years in practice.
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Published CMS data list 1,200 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 417 service units.
- 81003 โ Automated urinalysis test: 359 service units.
- 51798 โ Ultrasound measurement of bladder capacity after voiding: 252 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 9 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 4,224 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tamsulosin Hcl โ 1,122 prescription fills, including refills.
- Finasteride โ 365 prescription fills, including refills.
- Ciprofloxacin Hcl โ 245 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 47 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Daytona Beach, FL (2024, 56 clinicians with data). Median for this group: 178. Middle half: 58 to 405.
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Florida (2024, 4,401 clinicians with data). Median for this group: 251. Middle half: 82 to 807.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 181 in 2020 to 1,200 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
545 Health Blvd
Daytona Beach, FL 321141493
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Advanced Urology Institute Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
2000
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
471 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $59,628 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $46,102 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
9,152 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,533,764 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,254.19 across 34 records.
By nature of payment
- Food and Beverage: $1,091.23 across 32 records.
- Education: $162.96 across 2 records.
Reporting-company totals (3 largest of 17)
- Dendreon Pharmaceuticals LLC: $287.96 across 5 records.
- Bayer Healthcare Pharmaceuticals Inc.: $184.52 across 4 records.
- Pfizer Inc.: $84.99 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
26 years (graduated 2000)
CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Mikhail Lezhak has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Mikhail Lezhak as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Daytona Beach and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Daytona Beach, FL (2024, 56 clinicians with data). Median for this group: 178. Middle half: 58 to 405.
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Florida (2024, 4,401 clinicians with data). Median for this group: 251. Middle half: 82 to 807.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Daytona Beach, FL (2024, 56 clinicians with data). Median for this group: $15,046. Middle half: $6,951 to $24,944.
A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Florida (2024, 4,401 clinicians with data). Median for this group: $19,897. Middle half: $7,332 to $51,670.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Daytona Beach, FL (2024, 56 clinicians with data). Median for this group: $11,114. Middle half: $5,182 to $18,383.
A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Florida (2024, 4,401 clinicians with data). Median for this group: $14,725. Middle half: $5,399 to $38,081.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Daytona Beach, FL (2024, 70 clinicians with data). Median for this group: 203. Middle half: 87 to 448.
More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,888 clinicians with data). Median for this group: 270. Middle half: 78 to 824.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Daytona Beach, FL (2024, 70 clinicians with data). Median for this group: $1,584. Middle half: $703 to $4,378.
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,888 clinicians with data). Median for this group: $5,195. Middle half: $699 to $69,841.
115 active clinicians are listed under Physician Assistant with a practice address in Daytona Beach, FL (10,554 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Daytona Beach
7.8% of these 115 clinicians have the CMS telehealth indicator.
58.3% of these 115 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 563% from 181 in 2020 to 1,200 in 2024.
- 2020: 181
- 2021: 278
- 2022: 183
- 2023: 534
- 2024: 1,200
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Medicare-allowed amount
Medicare-allowed amount increased 381% from $12,409 in 2020 to $59,628 in 2024.
- 2020: $12,409
- 2021: $19,547
- 2022: $12,996
- 2023: $27,247
- 2024: $59,628
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Paid by Medicare
Paid by Medicare increased 371% from $9,796 in 2020 to $46,102 in 2024.
- 2020: $9,796
- 2021: $15,668
- 2022: $10,336
- 2023: $21,308
- 2024: $46,102
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 87% from 2,264 in 2020 to 4,224 in 2024.
- 2020: 2,264
- 2021: 2,932
- 2022: 4,340
- 2023: 4,184
- 2024: 4,224
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30-day fills
30-day fills increased 100% from 4,577 in 2020 to 9,152 in 2024.
- 2020: 4,577
- 2021: 6,246
- 2022: 9,273
- 2023: 8,979
- 2024: 9,152
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Part D drug cost
Part D drug cost increased 934% from $148,312 in 2020 to $1,533,764 in 2024.
- 2020: $148,312
- 2021: $486,432
- 2022: $575,936
- 2023: $529,805
- 2024: $1,533,764
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $310.88 in 2021 to $1,254.19 in 2025.
- 2021: $310.88
- 2022: $603.21
- 2023: $609.30
- 2024: $524.53
- 2025: $1,254.19
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 34 records totaling $1,254.19.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Dendreon Pharmaceuticals LLC |
Food and Beverage
In-kind items and services
|
PROVENGE | General | $125.08 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Nubeqa | General | $97.28 |
| Dendreon Pharmaceuticals LLC |
Food and Beverage
In-kind items and services
|
PROVENGE | General | $85.71 |
| Pfizer Inc. |
Education
In-kind items and services
|
โ | General | $84.99 |
| Astellas Pharma US Inc |
Education
In-kind items and services
|
โ | General | $77.97 |
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
ADSTILADRIN | General | $70.66 |
| Telix Pharmaceuticals |
Food and Beverage
In-kind items and services
|
ILLUCCIX | General | $54.46 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
INTERSTIM | General | $49.61 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
XTANDI | General | $29.75 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Nubeqa | General | $29.52 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Nubeqa | General | $29.34 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
|
KEYTRUDA | General | $29.02 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Nubeqa | General | $28.38 |
| Dendreon Pharmaceuticals LLC |
Food and Beverage
In-kind items and services
|
PROVENGE | General | $27.05 |
| TOLMAR, INC. |
Food and Beverage
In-kind items and services
|
JATENZO | General | $26.79 |
| Dendreon Pharmaceuticals LLC |
Food and Beverage
In-kind items and services
|
PROVENGE | General | $26.46 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
PLUVICTO | General | $26.40 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
PLUVICTO | General | $24.86 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
BOTOX | General | $24.63 |
| Endo USA, Inc. |
Food and Beverage
In-kind items and services
|
XIAFLEX | General | $23.96 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
PLUVICTO | General | $23.82 |
| Tempus AI, Inc |
Food and Beverage
In-kind items and services
|
XT CDX | General | $23.68 |
| Dendreon Pharmaceuticals LLC |
Food and Beverage
In-kind items and services
|
PROVENGE | General | $23.66 |
| Endo USA, Inc. |
Food and Beverage
In-kind items and services
|
AVEED | General | $22.80 |
| Tempus AI, Inc |
Food and Beverage
In-kind items and services
|
XT CDX | General | $21.73 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
417 | 381 | $315.28 | $112.41 |
|
81003
Automated urinalysis test
|
359 | 339 | $5.00 | $2.19 |
|
51798
Ultrasound measurement of bladder capacity after voiding
|
252 | 238 | $26.56 | $11.29 |
|
99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
|
45 | 32 | $112.93 | $44.05 |
|
G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
45 | 45 | $40.00 | $14.22 |
|
36415
Insertion of needle into vein for collection of blood sample
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29 | 28 | $14.69 | $7.89 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
|
25 | 25 | $325.80 | $116.23 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
17 | 17 | $417.06 | $147.47 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
11 | 11 | $225.91 | $77.97 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 1,122 | 93,452 | $21,650.00 | 483 |
| Finasteride | Finasteride | 365 | 31,576 | $6,079.07 | 145 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 245 | 2,910 | $2,298.31 | 182 |
| Solifenacin Succinate | Solifenacin Succinate | 240 | 16,770 | $10,367.92 | 100 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 218 | 16,747 | $4,706.04 | 89 |
| Myrbetriq | Mirabegron | 183 | 9,567 | $141,447.20 | 62 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 118 | 10,105 | $2,685.73 | 54 |
| Cephalexin | Cephalexin | 104 | 2,746 | $1,042.34 | 54 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 103 | 1,818 | $1,760.73 | 65 |
| Anastrozole | Anastrozole | 102 | 8,296 | $1,491.53 | 42 |
| Testosterone Cypionate | Testosterone Cypionate | 91 | 6,348 | $5,411.60 | 42 |
| Testosterone | Testosterone | 88 | 3,530 | $26,759.82 | 28 |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 86 | 1,598 | $1,431.28 | 64 |
| Levofloxacin | Levofloxacin | 75 | 197 | $284.69 | 67 |
| Dutasteride | Dutasteride | 65 | 5,060 | $1,633.18 | 26 |
| Desmopressin Acetate | Desmopressin Acetate | 62 | 3,292 | $3,460.05 | 22 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 62 | 420 | $431.50 | 48 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 60 | 867 | $388.19 | 46 |
| Methenamine Hippurate | Methenamine Hippurate | 60 | 4,140 | $3,314.79 | 32 |
| Silodosin | Silodosin | 60 | 4,680 | $3,826.74 | 25 |
| Erleada | Apalutamide | 52 | 1,560 | $738,211.11 | 12 |
| Potassium Citrate Er | Potassium Citrate | 49 | 3,378 | $4,662.51 | 19 |
| Doxycycline Hyclate | Doxycycline Hyclate | 41 | 662 | $420.92 | 33 |
| Sildenafil Citrate | Sildenafil Citrate | 40 | 2,194 | $274.27 | 16 |
| Abiraterone Acetate | Abiraterone Acetate | 38 | 1,140 | $26,500.08 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-02-11NUCC 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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20131212000258
FL
2466404967
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Advanced Urology Institute Llc
545 Health Blvd, Daytona Beach, FL 321141493
Phone: 3862398500
Advanced Urology Institute Llc
609 W Highland Blvd, Inverness, FL 344524638
Phone: 3527269707
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Urology
Doctor of Medicine (M.D.)
Urology
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Nurse Practitioner
Adult-Gerontology Acute Care Nurse Practitioner
Urology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 12109 COUNTY ROAD 103, OXFORD, FL 344842951 (Tel: 3522058981)
Registered at 545 HEALTH BLVD, DAYTONA BEACH, FL 321141493 (Tel: 3862398540)
Registered at 545 HEALTH BLVD, DAYTONA BEACH, FL 321141493 (Tel: 3862398540)
Physician Assistant (license number reported to NPPES: FL PA9107273)
Registered at 655 W 8TH ST, UFJAX - DEPT. OF SURGERY (UROLOGY), JACKSONVILLE, FL 322096511 (Tel: 9042447340)
Registered at PO BOX 44008, UFJP - PROVIDER ENROLLMENT, JACKSONVILLE, FL 322314008 (Tel: 9042443199)
Recorded as MIKHAIL LEZHAK, RPAC
Physician Assistant (license number reported to NPPES: NY 007606)
Record officially reactivated for active practice on March 18, 2008
NPPES lists this NPI as deactivated as of February 26, 2008; the reason is not published.
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Daytona Beach
- Cynthia Davenport, PA-C
- Rhonda Gleason, PA-C
- Theresa Wallace, PA-C, ATC
- Andrew Giaconi, PA-C
- Mathew Taylor, PA
- Steven Stone, PA-C
Mailing Address
12109 County Road 103
Oxford, FL 344842951
Phone: 3522058981