SHARYL J TRUTY (MD) – Specialist, NPI 1093767147
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for SHARYL J TRUTY (MD)
572 JACKSONVILLE DR
JACKSONVILLE BEACH, FL 322503813
Phone: (904) 930-4774
Fax: (904) 647-2476
Type: Mailing
115, Professional Drive, Ponte Vedra Lakes Professional Park, Palm Valley, Ponte Vedra Beach, Saint Johns County, Florida, 32082, United States
SUITE 104
PONTE VEDRA BEACH, FL 320826259
Phone: (904) 930-4774
Fax: (904) 647-2476
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $339.
Total Amount is formed as General ($339) + Research ($0) + Ownership ($0) = $339.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: PAINTEQ LLC ($157).
Total Amount
$339
General + Research + Ownership
Payments
5
Total payment records
General Amount
$339
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PAINTEQ LLC | $157 |
| AstraZeneca Pharmaceuticals LP | $87 |
| Novo Nordisk Inc | $50 |
| Takeda Pharmaceuticals U.S.A., Inc. | $45 |
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: 2005-11-07
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 |
|---|---|---|---|---|
| I20051107000835 | 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 32250)
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