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Dr. Daniel Belotserkovsky , DDS

Dentist - General Practice • St Augustine, FL

Active NPI 1912344904 Individual Practitioner Male Practitioner
Practice location in NPPES

10 Saint Johns Medical Park Dr
St Augustine, FL 320865201

Call 9047702686 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10 Saint Johns Medical Park Dr

St Augustine, FL 320865201

Telephone 9047702686

30-day fills

99 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

$276 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 – by Provider and Drug, 2024.

Open Payments general payments, program year 2022

All general payments: $66.04 across 3 records.

By nature of payment

  • Food and Beverage: $66.04 across 3 records.

Reporting-company totals

  • BioHorizons Implant Systems Inc.: $38.23 across 1 record.
  • ZIMVIE INC.: $27.81 across 2 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.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2022 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2013

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Belotserkovsky 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Belotserkovsky 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in St Augustine and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 70% of clinicians listed under Dentist - General Practice in St Augustine, FL (2024, 22 clinicians with data). Median for this group: 34. Middle half: 23 to 110.

More Part D prescriptions than 65% of clinicians listed under Dentist - General Practice in Florida (2024, 3,880 clinicians with data). Median for this group: 59. Middle half: 28 to 120.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Dentist - General Practice in St Augustine, FL (2024, 22 clinicians with data). Median for this group: $115. Middle half: $74 to $325.

A higher Part D drug cost than 60% of clinicians listed under Dentist - General Practice in Florida (2024, 3,880 clinicians with data). Median for this group: $201. Middle half: $87 to $452.

42 active clinicians are listed under Dentist - General Practice with a practice address in St Augustine, FL (7,118 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Augustine

0% of these 42 clinicians have the CMS telehealth indicator.

0% of these 42 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · 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

Open Payments · Program Year 2022
Disclosure Year:

Program year 2022 (payments made January 1 – December 31, 2022): fewer than 11 records totaling $66.04.

Manufacturer Payment Nature Product Type Amount ($)
BioHorizons Implant Systems Inc.
Food and Beverage
In-kind items and services
BIOHORIZONS General $38.23
ZIMVIE INC.
Food and Beverage
In-kind items and services
NAVIGATOR General $13.97
ZIMVIE INC.
Food and Beverage
In-kind items and services
NAVIGATOR General $13.84

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 43 263 $132.51 39
Ibuprofen Ibuprofen 30 175 $91.98 27
Chlorhexidine Gluconate Chlorhexidine Gluconate 14 254 $36.45 13
Dexamethasone Dexamethasone 12 12 $15.15 12

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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES FL DN21757

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DENTIST

Medicare Enrollment ID

I20250314002120

Enrollment State Jurisdiction

FL

PECOS Control ID

0143742551

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
âś…
NPI Profile Active February 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2018

Registered at 10 SAINT JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 320865201 (Tel: 9047702686)

📍
Updated Business Mailing Address February 06, 2018

Registered at 10 SAINT JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 320865201 (Tel: 9047702686)

👤
Provider Name / Credentials Updated February 06, 2018

Recorded as DANIEL BELOTSERKOVSKY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2018

Dentist (license number reported to NPPES: FL DN21757)

âś…
NPI Profile Active August 15, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) August 15, 2016

Registered at 8142 W BROWARD BLVD, PLANTATION, FL 333242000 (Tel: 2013889020)

📍
Business Mailing Address (Initial Record) August 15, 2016

Registered at 8142 W BROWARD BLVD, PLANTATION, FL 333242000 (Tel: 9544751212)

👤
Provider Name / Credentials (Initial Record) August 15, 2016

Recorded as DANIEL BELOTSERKOVSKY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2016

Dentist (license number reported to NPPES: FL DN21757)

🟢
Initial NPI Registration & Enumeration May 30, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912344904
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2013
Last Update: February 06, 2018
Sole Proprietor: No

Other Dentist - General Practices in St Augustine

All Dentist - General Practices in St Augustine

Mailing Address

10 Saint Johns Medical Park Dr

St Augustine, FL 320865201

Phone: 9047702686

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.