BROOKE A THERMIDOR (DO) – Family Medicine Physician, NPI 1083787675

BROOKE A THERMIDOR (DO) is a healthcare provider. based in The villages, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS12680 (FL). The NPI Number for BROOKE A THERMIDOR (DO) is 1083787675

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE A THERMIDOR (DO)
NPI
1083787675
Phone
(352) 674-8905
Address
1020 LAKE SUMTER LNDG
Enumeration Date
15 November 2006
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
8448849355
Graduation Year
2005 (21 years ago)
PAC ID
4789750035
Group Practice PAC ID
2163667288
Professional Enrollment ID
I20150625001040
Address ID
FL321630099TH779XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for BROOKE A THERMIDOR (DO)

  • 1020 LAKE SUMTER LNDG

    THE VILLAGES, FL 321622699

    Phone: (352) 674-8905

    Fax: (352) 674-8901

    Type: Mailing

  • 779 KRISTINE WAY

    THE VILLAGES, FL 321630099

    Phone: (844) 884-9355

    Fax: (352) 674-6030

    Type: Location

  • Ocala Post Office, Southwest 5th Street, Ocala, Marion County, Florida, 34474, United States

    OCALA, FL 344784590

    Phone: (407) 287-6363

    Fax: (844) 388-6186

    Type: Mailing

  • Khouzam Building, 54, Plant Street, Winter Garden, Orange County, Florida, 34787, United States

    WINTER GARDEN, FL 347873127

    Phone: (407) 287-6363

    Fax: (844) 388-6186

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $154.

Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($154).

Total Amount

$154

General + Research + Ownership

Payments

1

Total payment records

General Amount

$154

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2015-06-25

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
I20150625001040IFamily PracticeFLTBD

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 minutes4222$0
99213Established patient office or other outpatient visit, 20-29 minutes1912$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32162)

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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: 2163667288View full group profile
NameSpecialtyState
U R O L O G YIL
Family PracticeIL
Internal MedicineIL
-FL
Family PracticeFL
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerNJ
Qualified AudiologistFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What identifier follows BROOKE A THERMIDOR (DO) across health systems?
The NPI 1083787675 uniquely identifies BROOKE A THERMIDOR (DO) in U.S. healthcare data.
Is BROOKE A THERMIDOR (DO) currently accepting referrals based on NPI status?
Registry metadata lists BROOKE A THERMIDOR (DO) as active.
What type of care does BROOKE A THERMIDOR (DO) provide?
BROOKE A THERMIDOR (DO)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is BROOKE A THERMIDOR (DO) tied to The Villages, Florida?
If you are local to The Villages, Florida, BROOKE A THERMIDOR (DO) may be relevant to your search.
Who maintains BROOKE A THERMIDOR (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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