TEDRIC LOLIS (PA-C) – Surgical Physician Assistant, NPI 1114660289
Surgical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for TEDRIC LOLIS (PA-C)
1710 SE 16TH AVE
OCALA, FL 344714656
Phone: (352) 620-1900
Type: Mailing
220 CAMPUS BLVD STE 210
WINCHESTER, VA 226012889
Phone: (540) 536-5100
Fax: (540) 536-0235
Type: Mailing
1008 TAVERN RD STE 102
MARTINSBURG, WV 254012801
Phone: (304) 263-5129
Fax: (304) 263-3726
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $842.
Total Amount is formed as General ($842) + Research ($0) + Ownership ($0) = $842.
Last reported payment date: 2023-06-21 • Largest payer in this snapshot: Arthrex, Inc. ($486).
Total Amount
$842
General + Research + Ownership
Payments
14
Total payment records
General Amount
$842
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $486 |
| Mid-Atlantic Surgical Systems, LLC | $356 |
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: 2023-01-20
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 |
|---|---|---|---|---|
| I20230120001006 | I | Physician Assistant | WV | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 163 | 126 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 93 | 93 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 71 | 59 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 67 | 59 | $0 |
| 73562 | X-ray of knee, 3 views | 42 | 39 | $0 |
Insurance plans in this area (ZIP 34471)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | WV | |
| Family Practice | VA | |
| - | WV | |
| Orthopedic Surgery | WV | |
| Nurse Practitioner | VA | |
| Vascular Surgery | WV | |
| Nurse Practitioner | WV | |
| Nurse Practitioner | WV | |
| Family Practice | WV |
Reviews
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