DR. LARRY L ERTEL (M.D.) – Pediatrics Physician, NPI 1063479954

DR. LARRY L ERTEL (M.D.) is a healthcare provider. based in Saint petersburg, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35650 (KY). The NPI Number for DR. LARRY L ERTEL (M.D.) is 1063479954

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARRY L ERTEL (M.D.)
NPI
1063479954
Phone
(727) 824-7161
Address
620 10TH ST N STE 1D
Enumeration Date
26 April 2006
Last Update Date
13 January 2023

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
7277255060
Graduation Year
1992 (34 years ago)
PAC ID
8820989544
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20221111000252
Address ID
FL337631726CL2461XRDXX301

Contacts

Secure Messaging
larry.ertelMD@direct.mybaycare.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

12,378 INTERNAL MEDICINE in FL

Provider Addresses for DR. LARRY L ERTEL (M.D.)

  • 620 10TH ST N STE 1D

    SAINT PETERSBURG, FL 337051407

    Phone: (727) 824-7161

    Fax: (727) 824-7163

    Type: Location

  • Boonesboro Road, Hampton Manor, Winchester, Clark County, Kentucky, 40391-1876, United States

    WINCHESTER, KY 403918816

    Phone: (859) 744-0067

    Fax: (859) 744-0042

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,258.

Total Amount is formed as General ($1,258) + Research ($0) + Ownership ($0) = $1,258.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($272).

Total Amount

$1,258

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,258

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2022-11-11

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
I20221111000252IInternal MedicineFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes457277$0
99213Established patient office or other outpatient visit, 20-29 minutes11080$0
G0008Administration of influenza virus vaccine4241$0
90662Influenza vaccine split virus, preservative free3938$0
99203New patient office or other outpatient visit, 30-44 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 33705)

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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: 6406753623View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. LARRY L ERTEL (M.D.) for billing?
Administrative and clinical systems typically use NPI 1063479954 for DR. LARRY L ERTEL (M.D.).
Quick check: is DR. LARRY L ERTEL (M.D.) active?
Public NPPES data shows DR. LARRY L ERTEL (M.D.) with an active NPI status right now.
What type of care does DR. LARRY L ERTEL (M.D.) provide?
DR. LARRY L ERTEL (M.D.)'s profile centers on Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. LARRY L ERTEL (M.D.)?
DR. LARRY L ERTEL (M.D.) is associated with Saint Petersburg, Florida in the same public data insurers reference.
Why is information missing for DR. LARRY L ERTEL (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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