DR. EDWARD PAUL SECUNDA (D.O.) – Family Medicine Physician, NPI 1053337782
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. EDWARD PAUL SECUNDA (D.O.)
340 Town Place Ave., Suite 240
Ponte Vedra, FL 32081
Phone: (904) 595-2583
Fax: (904) 595-2584
Type: Location
7855, Argyle Forest Boulevard, Jacksonville, Duval County, Florida, 32244, United States
STE. 101
JACKSONVILLE, FL 322445597
Phone: (904) 282-6331
Fax: (904) 282-4117
Type: Mailing
Beach Boulevard, Jacksonville Beach, Duval County, Florida, 32250, United States
SUITE 120
JACKSONVILLE BEACH, FL 322502079
Phone: (904) 223-6400
Fax: (904) 223-6420
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: 2024-03-13
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 |
|---|---|---|---|---|
| I20240313003352 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32081)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | FL | 83036 | Hemoglobin A1C level | 68 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Family Practice | FL | |
| A N E S T H E S I O L O G Y | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL |
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