Michelle Leiter , PA
Physician Assistant โข Estero, FL
10200 Arcos Ave Ste 201
Estero, FL 339283529
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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Michelle Leiter is listed in NPPES under Physician Assistant.
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NPI assigned on November 5, 2018; this date does not establish years in practice.
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Published CMS data list 5,535 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:
- 17003 โ Destruction of precancer skin growth, 2-14 growths: 2,103 service units.
- 99213 โ Established patient outpatient office visit: 1,208 service units.
- 17000 โ Destruction of precancer skin growth, 1 growth: 695 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 14 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 672 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:
- Triamcinolone Acetonide โ 233 prescription fills, including refills.
- Ketoconazole โ 62 prescription fills, including refills.
- Clindamycin Phosphate โ 59 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 14 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. 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 3,455 in 2020 to 5,535 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
10200 Arcos Ave Ste 201
Estero, FL 339283529
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: Estero Dermatology And Skin Surgery Center, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Lincoln Memorial University Medical Department
2018
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
732 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 $269,362 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 $192,075 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
682 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
$127,686 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: $1,826.85 across 52 records.
By nature of payment
- Food and Beverage: $1,802.68 across 51 records.
- Education: $24.17 across 1 record.
Reporting-company totals (3 largest of 16)
- SUN PHARMACEUTICAL INDUSTRIES INC.: $446.37 across 6 records.
- ABBVIE INC.: $277.17 across 12 records.
- Janssen Pharmaceuticals, Inc: $239.16 across 5 records.
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
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 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.
NPI first issued
2018
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; 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.
Enrolled in Medicare (PECOS)
Michelle Leiter 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 Michelle Leiter 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 Estero and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
Too few clinicians listed under Physician Assistant in Estero have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $19,984. Middle half: $7,371 to $51,670.
Too few clinicians listed under Physician Assistant in Estero have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $14,814. Middle half: $5,414 to $38,190.
Too few clinicians listed under Physician Assistant in Estero have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.
Too few clinicians listed under Physician Assistant in Estero have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.
Too few clinicians listed under Physician Assistant in Estero have Medicare Part D data for 2024 to compare.
13 active clinicians are listed under Physician Assistant with a practice address in Estero, FL (10,260 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Estero
15.4% of these 13 clinicians have the CMS telehealth indicator.
76.9% of these 13 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 60% from 3,455 in 2020 to 5,535 in 2024.
- 2020: 3,455
- 2021: 4,706
- 2022: 4,905
- 2023: 5,229
- 2024: 5,535
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Medicare-allowed amount
Medicare-allowed amount increased 73% from $155,967 in 2020 to $269,362 in 2024.
- 2020: $155,967
- 2021: $211,417
- 2022: $219,031
- 2023: $238,200
- 2024: $269,362
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Paid by Medicare
Paid by Medicare increased 84% from $104,137 in 2020 to $192,075 in 2024.
- 2020: $104,137
- 2021: $145,435
- 2022: $149,117
- 2023: $169,175
- 2024: $192,075
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 58% from 424 in 2020 to 672 in 2024.
- 2020: 424
- 2021: 503
- 2022: 535
- 2023: 561
- 2024: 672
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30-day fills
30-day fills increased 53% from 445 in 2020 to 682 in 2024.
- 2020: 445
- 2021: 513
- 2022: 540
- 2023: 567
- 2024: 682
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Part D drug cost
Part D drug cost increased 1372% from $8,672 in 2020 to $127,686 in 2024.
- 2020: $8,672
- 2021: $11,746
- 2022: $54,010
- 2023: $148,398
- 2024: $127,686
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $646.72 in 2021 to $1,826.85 in 2025.
- 2021: $646.72
- 2022: $1,241.96
- 2023: $2,510.88
- 2024: $2,205.96
- 2025: $1,826.85
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, 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): 52 records totaling $1,826.85.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. |
Food and Beverage
In-kind items and services
|
โ | General | $146.45 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $146.20 |
| SUN PHARMACEUTICAL INDUSTRIES INC. |
Food and Beverage
In-kind items and services
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ILUMYA | General | $124.99 |
| Verrica Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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YCANTH | General | $124.98 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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SKYRIZI | General | $119.92 |
| SUN PHARMACEUTICAL INDUSTRIES INC. |
Food and Beverage
In-kind items and services
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ILUMYA | General | $118.03 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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โ | General | $90.99 |
| Almirall LLC |
Food and Beverage
In-kind items and services
|
Klisyri | General | $40.43 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
EBGLYSS | General | $33.28 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
TALTZ | General | $32.79 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $32.14 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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TALTZ | General | $32.09 |
| Organogenesis Inc. |
Food and Beverage
In-kind items and services
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PURAPLY WOUND MATRIX | General | $31.65 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $30.48 |
| Organogenesis Inc. |
Food and Beverage
In-kind items and services
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CYGNUS DUAL | General | $29.56 |
| Kerecis Limited |
Food and Beverage
Cash or cash equivalent
|
Kerecis SurgiClose | General | $29.41 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
โ | General | $26.95 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $26.86 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
โ | General | $25.15 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $25.01 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $24.97 |
| Biofrontera Inc. |
Education
In-kind items and services
|
AMELUZ | General | $24.17 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
CIBINQO | General | $23.66 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $22.87 |
| Arcutis Biotherapeutics, Inc. |
Food and Beverage
In-kind items and services
|
Zoryve | General | $21.72 |
(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 2018โ2023 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, 2019โ2024; 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 |
|---|---|---|---|---|
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17003
Destruction of precancer skin growth, 2-14 growths
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2,103 | 331 | $14.00 | $5.76 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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1,208 | 625 | $153.95 | $80.77 |
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17000
Destruction of precancer skin growth, 1 growth
|
695 | 419 | $118.00 | $44.51 |
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11102
Biopsy of related skin growth, first growth
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492 | 348 | $230.00 | $77.17 |
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17110
Destruction of skin growth, 1-14 growths
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367 | 276 | $242.00 | $98.51 |
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11103
Biopsy of related skin growth, each additional growth
|
193 | 111 | $120.00 | $44.19 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
169 | 127 | $93.00 | $50.25 |
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17262
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
|
80 | 62 | $385.00 | $147.04 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
68 | 68 | $231.00 | $98.46 |
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17004
Destruction of precancer skin growth, 15 or more growths
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67 | 52 | $373.00 | $148.39 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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32 | 24 | $225.00 | $114.19 |
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11301
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
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23 | 20 | $263.00 | $96.08 |
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69100
Biopsy of ear
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20 | 19 | $222.00 | $61.22 |
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17111
Destruction of skin growth, 15 or more growths
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18 | 12 | $288.00 | $117.43 |
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 |
|---|---|---|---|---|---|
| Triamcinolone Acetonide | Triamcinolone Acetonide | 233 | 5,780 | $940.75 | 162 |
| Ketoconazole | Ketoconazole | 62 | 1,705 | $696.33 | 48 |
| Clindamycin Phosphate | Clindamycin Phosphate | 59 | 1,710 | $760.40 | 45 |
| Gentamicin Sulfate | Gentamicin Sulfate | 48 | 1,166 | $1,140.02 | 41 |
| Fluorouracil | Fluorouracil | 46 | 1,319 | $2,544.18 | 40 |
| Nystatin | Nystatin | 44 | 1,075 | $558.12 | 20 |
| Ciclopirox | Ciclopirox Olamine | 38 | 1,092 | $714.64 | 24 |
| Mupirocin | Mupirocin | 30 | 647 | $177.63 | 25 |
| Valacyclovir | Valacyclovir Hcl | 25 | 380 | $599.63 | 17 |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 21 | 495 | $616.88 | 19 |
| Clobetasol Propionate | Clobetasol Propionate | 20 | 569 | $291.15 | 12 |
| Ciclopirox | Ciclopirox | 20 | 600 | $358.59 | 13 |
| Doxycycline Hyclate | Doxycycline Hyclate | 13 | 150 | $108.63 | 13 |
| Cosentyx Unoready Pen | Secukinumab | 13 | 364 | $118,178.57 | โ |
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: 2023-09-05NUCC 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
I20190109001015
FL
0042556243
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
Estero Dermatology And Skin Surgery Center, Llc
10201 Arcos Ave, Estero, FL 339289461
Phone: 2393903376
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
ARNPBC
Nurse Practitioner - Family
Family Nurse Practitioner
Dermatology
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Dermatology
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 10200 ARCOS AVE STE 201, ESTERO, FL 339283529 (Tel: 2393903376)
Registered at 5100 TAMIAMI TRL N STE 102, NAPLES, FL 341032810 (Tel: 2393903376)
Registered at 10200 ARCOS AVE STE 201, ESTERO, FL 339283529 (Tel: 2393903376)
Recorded as MICHELLE LEITER, PA
NPI status registered as active in NPPES database
Registered at 10201 ARCOS AVE STE 203, ESTERO, FL 339289461 (Tel: 2393903376)
Registered at 6160 PAINTED LEAF LN, NAPLES, FL 341167443
Recorded as MICHELLE WRASSE, PA
Physician Assistant (license number reported to NPPES: FL 9111780)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Estero
- Kaitlyn Kaiser, PA-C
- Pedro Ramos, PA
- Lauren Hariharan, PA-C
- Jennifer Rice, PA-C
- Taylor Chaconas
- Peter Perou, RPA-C
Mailing Address
10200 Arcos Ave Ste 201
Estero, FL 339283529
Phone: 2393903376