DR. MAVERICK MICHAEL PERICH (DO) – Ophthalmology Physician, NPI 1104387968

DR. MAVERICK MICHAEL PERICH (DO) is a healthcare provider. based in Hudson, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials DO. They hold a License No. OS20411 (FL). The NPI Number for DR. MAVERICK MICHAEL PERICH (DO) is 1104387968

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAVERICK MICHAEL PERICH (DO)
NPI
1104387968
Phone
(727) 819-2966
Address
14000 FIVAY RD
Enumeration Date
26 March 2019
Last Update Date
8 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8139632020
Graduation Year
2019 (7 years ago)
PAC ID
1153650833
Group Practice PAC ID
8224060553
Professional Enrollment ID
I20231101000558
Address ID
FL336183505TA11809HWYX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

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Provider Addresses for DR. MAVERICK MICHAEL PERICH (DO)

  • Regional Medical Center Bayonet Point, 14000, Fivay Road, Hudson, Pasco County, Florida, 34667, United States

    HUDSON, FL 346677103

    Phone: (727) 819-2966

    Type: Mailing

  • 11809 N Dale Mabry Hwy

    Tampa, FL 336183505

    Phone: (813) 963-2020

    Type: Location

  • 2020 SEVEN SPRINGS BLVD

    NEW PORT RICHEY, FL 346553933

    Phone: (727) 372-1311

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $631.

Total Amount is formed as General ($631) + Research ($0) + Ownership ($0) = $631.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Alcon Vision LLC ($197).

Total Amount

$631

General + Research + Ownership

Payments

33

Total payment records

General Amount

$631

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2023-11-01

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
I20231101000558IOphthalmologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34667)

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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: 8224060553View full group profile
NameSpecialtyState
Physician AssistantFL
O P H T H A L M O L O G YFL
-FL
-FL
Physician AssistantFL
O P T O M E T R YFL
Ophthalmology, General Practice, Osteopathic Manipulative Medicine, Plastic And Reconstructive Surgery, Preventive MedicineFL
Ophthalmology, OtolaryngologyFL

Reviews

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Frequently asked questions

What is the standard ID for DR. MAVERICK MICHAEL PERICH (DO) in the U.S.?
In the U.S., DR. MAVERICK MICHAEL PERICH (DO) is identified by NPI 1104387968.
Quick check: is DR. MAVERICK MICHAEL PERICH (DO) active?
Public NPPES data shows DR. MAVERICK MICHAEL PERICH (DO) with an active NPI status right now.
What type of care does DR. MAVERICK MICHAEL PERICH (DO) provide?
DR. MAVERICK MICHAEL PERICH (DO)'s profile centers on Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MAVERICK MICHAEL PERICH (DO)?
The directory associates DR. MAVERICK MICHAEL PERICH (DO) with Hudson, Florida. Check all listed addresses for suites or satellite offices.
Can I export DR. MAVERICK MICHAEL PERICH (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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