DR. LUIS CLYDE FAVILLI (MD) – Family Medicine Physician, NPI 1013912625
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. LUIS CLYDE FAVILLI (MD)
25, North Lanier Avenue, Fort Meade, Polk County, Florida, 33841, United States
FORT MEADE, FL 338412918
Phone: (863) 285-7171
Fax: (863) 285-6701
Type: Mailing
6675 WESTWOOD BLVD STE 475
ORLANDO, FL 328216027
Phone: (407) 845-0330
Fax: (888) 972-1752
Type: Mailing
3650 INNOVATION DR
LAKELAND, FL 338124105
Phone: (860) 709-1968
Fax: (863) 701-2151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $127.
Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.
Last reported payment date: 2023-06-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($70).
Total Amount
$127
General + Research + Ownership
Payments
8
Total payment records
General Amount
$127
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $70 |
| AstraZeneca Pharmaceuticals LP | $57 |
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: 2008-02-27
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 |
|---|---|---|---|---|
| I20080227000289 | I | Family Practice | 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 | 315 | 90 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 18 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 21 | 18 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 13 | 12 | $0 |
| G0008 | Administration of influenza virus vaccine | 13 | 12 | $0 |
Insurance plans in this area (ZIP 33841)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | FL | 81002 | Urinalysis, manual test | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| General Practice | FL | |
| General Practice | PR | |
| - | FL | |
| - | FL | |
| General Practice | PR | |
| Internal Medicine | FL | |
| General Practice | FL | |
| - | FL | |
| - | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.