MATTHEW M HENDRICKS (PA-C) – Dermatology Physician, NPI 1033684873

MATTHEW M HENDRICKS (PA-C) is a healthcare provider. based in Maitland, Florida. specializing in Dermatology Physician. They hold the professional credentials PA-C. They hold a License No. PA9111716 (). The NPI Number for MATTHEW M HENDRICKS (PA-C) is 1033684873

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW M HENDRICKS (PA-C)
NPI
1033684873
Phone
(407) 875-2080
Address
151 SOUTHHALL LN STE 300
Enumeration Date
8 October 2018
Last Update Date
22 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544473200
Graduation Year
2018 (8 years ago)
PAC ID
7911249388
Group Practice PAC ID
4688579311
Professional Enrollment ID
I20190506000139
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for MATTHEW M HENDRICKS (PA-C)

  • Southhall Lane, Maitland, Orange County, Florida, 32810, United States

    MAITLAND, FL 327517172

    Phone: (407) 875-2080

    Type: Mailing

  • 100, Southwest 129th Avenue, Pembroke Pines, Broward County, Florida, 33027, United States

    PEMBROKE PINES, FL 330271778

    Phone: (954) 447-3200

    Fax: (954) 217-3222

    Type: Location

  • 2838 E. OAKLAND PARK BOULEVARD

    S. 201

    FORT LAUDERDALE, FL 33306

    Phone: (954) 564-0040

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 314 Open Payments records for all available years, with a total value of $5,718.

Total Amount is formed as General ($5,718) + Research ($0) + Ownership ($0) = $5,718.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($1,303).

Total Amount

$5,718

General + Research + Ownership

Payments

314

Total payment records

General Amount

$5,718

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-05-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190506000139IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32751)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688579311View full group profile
NameSpecialtyState
-NV
D E R M A T O L O G YFL
-FL
Nurse PractitionerFL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
D E R M A T O L O G YFL
Physician AssistantFL
-FL
D E R M A T O L O G YMI
-TX

Reviews

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Frequently asked questions

Does MATTHEW M HENDRICKS (PA-C) have a public NPI I can cite?
Public records show MATTHEW M HENDRICKS (PA-C) under NPI 1033684873.
Should I treat MATTHEW M HENDRICKS (PA-C) as an active provider?
Patients and plans typically see MATTHEW M HENDRICKS (PA-C) as active in the national extract.
What type of care does MATTHEW M HENDRICKS (PA-C) provide?
MATTHEW M HENDRICKS (PA-C)'s profile centers on Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MATTHEW M HENDRICKS (PA-C) in Maitland, Florida?
For routing, start with Maitland, Florida for MATTHEW M HENDRICKS (PA-C), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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