NEKO GUDE (PA) – Physician Assistant, NPI 1003420308
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for NEKO GUDE (PA)
11522 US HIGHWAY 19 BLDG B
PORT RICHEY, FL 346681431
Phone: (727) 868-2151
Type: Location
255 SE 7TH AVE STE 3
CRYSTAL RIVER, FL 344294848
Phone:
Type: Mailing
11528 US HIGHWAY 19
PORT RICHEY, FL 346681442
Phone: (727) 868-2151
Fax: (727) 869-0732
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $281.
Total Amount is formed as General ($281) + Research ($0) + Ownership ($0) = $281.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Novo Nordisk Inc ($103).
Total Amount
$281
General + Research + Ownership
Payments
14
Total payment records
General Amount
$281
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201022002459 | I | Physician Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 232 | 160 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 168 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 140 | 127 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 105 | 95 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 72 | 61 | $0 |
Insurance plans in this area (ZIP 34668)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Internal Medicine | IL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL |
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