DR. WILFRED M VICTORINA (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1083660351

DR. WILFRED M VICTORINA (M.D.) is a healthcare provider. based in Palm coast, Florida. specializing in ENDOCRINOLOGY. They hold the professional credentials M.D.. They hold a License No. 36980 (KY). The NPI Number for DR. WILFRED M VICTORINA (M.D.) is 1083660351

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILFRED M VICTORINA (M.D.)
NPI
1083660351
Phone
(386) 225-4462
Address
PO BOX 350812
Enumeration Date
26 May 2006
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5182625633
Graduation Year
1993 (33 years ago)
PAC ID
6800784588
Group Practice PAC ID
1759293111
Professional Enrollment ID
I20230731001584
Address ID
NY122083412AL47XXXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness85
Years active:20State licenses:4Digital endpointsOther names

1,079 ENDOCRINOLOGY in NY

Provider Addresses for DR. WILFRED M VICTORINA (M.D.)

  • PO BOX 350812

    PALM COAST, FL 321350812

    Phone: (386) 225-4462

    Fax: (386) 225-4465

    Type: Mailing

  • 220 WASHINGTON AVENUE EXT

    ALBANY, NY 122035316

    Phone: (518) 489-4704

    Fax: (518) 489-0512

    Type: Mailing

  • Palm Coast Parkway Northwest, Palm Coast, Flagler County, Florida, 32137, United States

    UNIT 2

    PALM COAST, FL 321373672

    Phone: (386) 225-4462

    Fax: (386) 225-4465

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 103 Open Payments records for all available years, with a total value of $2,129.

Total Amount is formed as General ($2,129) + Research ($0) + Ownership ($0) = $2,129.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($457).

Total Amount

$2,129

General + Research + Ownership

Payments

103

Total payment records

General Amount

$2,129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2023-07-31

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
I20230731001584IEndocrinologyNYTBD

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
99204New patient office or other outpatient visit, 45-59 minutes1818$0
99214Established patient office or other outpatient visit, 30-39 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 32135)

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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: 1759293111View full group profile
NameSpecialtyState
N E U R O L O G YNY
-NY
-NY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
P S Y C H I A T R YNC
Emergency Medicine, Critical Care (Intensivists)NY
Thoracic SurgeryNY
-NY
Vascular SurgeryNY

Reviews

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Frequently asked questions

What number should I use to identify DR. WILFRED M VICTORINA (M.D.) for billing?
Administrative and clinical systems typically use NPI 1083660351 for DR. WILFRED M VICTORINA (M.D.).
Is DR. WILFRED M VICTORINA (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. WILFRED M VICTORINA (M.D.) as active.
Which specialty label fits DR. WILFRED M VICTORINA (M.D.)?
NPPES ties DR. WILFRED M VICTORINA (M.D.) to Endocrinology, Diabetes & Metabolism Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. WILFRED M VICTORINA (M.D.)?
DR. WILFRED M VICTORINA (M.D.) is associated with Palm Coast, Florida in the same public data insurers reference.
Who maintains DR. WILFRED M VICTORINA (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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