MS. AMANDA RENEA PORTER (PA-C) – Physician Assistant, NPI 1104853704
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for MS. AMANDA RENEA PORTER (PA-C)
14555 CORTEZ BLVD
BROOKSVILLE, FL 346136003
Phone: (352) 556-4823
Fax: (352) 556-4824
Type: Location
101, South Lakewood Drive, Brandon, Hillsborough County, Florida, 33511, United States
BRANDON, FL 335115016
Phone: (813) 978-9700
Fax: (813) 558-6187
Type: Location
Telecom Parkway North, Preserve at Fletcher Avenue, Temple Terrace, Hillsborough County, Florida, 33637, United States
TEMPLE TERRACE, FL 336370925
Phone: (813) 978-9700
Fax: (813) 558-6187
Type: Mailing
1324 LAKELAND HILLS BLVD
LAKELAND, FL 338054543
Phone: (407) 650-7715
Type: Mailing
5400 PINEHURST DR
SPRING HILL, FL 346063833
Phone: (352) 277-5348
Fax: (352) 606-2857
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2023-08-16 • Largest payer in this snapshot: Stryker Corporation ($35).
Total Amount
$55
General + Research + Ownership
Payments
2
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $35 |
| KCI USA, Inc. | $20 |
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: 2013-09-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130911000622 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 240 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 101 | 77 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 53 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 29 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 32 | 32 | $0 |
Insurance plans in this area (ZIP 34613)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 27447 | Repair of knee joint | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| Physician Assistant | FL | |
| Sports Medicine | FL | |
| Orthopedic Surgery | FL | |
| Sports Medicine, Family Practice | FL | |
| Physician Assistant | FL |
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