DONALD RICHARD JR. NETTLOW (MD) – Anesthesiology Physician, NPI 1003859349
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,340 ANESTHESIOLOGY in FL
Provider Addresses for DONALD RICHARD JR. NETTLOW (MD)
567 Avenue K SE
Winter Haven, FL 338804215
Phone: (863) 299-1231
Fax: (863) 299-1233
Type: Location
PO BOX 864165
ORLANDO, FL 328864165
Phone: (317) 614-9863
Fax: (844) 876-0873
Type: Mailing
Winter Haven Hospital, 200, Avenue F Northeast, Winter Haven, Polk County, Florida, 33881, United States
WINTER HAVEN, FL 338814131
Phone: (863) 293-1121
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-05-29
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 |
|---|---|---|---|---|
| I20070529000031 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 286 | 195 | $0 |
| 00140 | Anesthesia for other procedure on eye | 31 | 25 | $0 |
| 01810 | Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | 21 | 20 | $0 |
| 64417 | Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve) | 14 | 14 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 33880)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | FL | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 25 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| - | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | FL |
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