DR. MICHAEL PAUL WIDICK (MD) – Otolaryngology Physician, NPI 1164420071

DR. MICHAEL PAUL WIDICK (MD) is a healthcare provider. based in Cocoa beach, Florida. specializing in OTOLARYNGOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. ME0061454 (FL). The NPI Number for DR. MICHAEL PAUL WIDICK (MD) is 1164420071

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL PAUL WIDICK (MD)
NPI
1164420071
Phone
(321) 799-9797
Address
333 W COCOA BEACH CSWY
Enumeration Date
13 July 2005
Last Update Date
27 February 2013

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3217999797
Graduation Year
1989 (37 years ago)
PAC ID
1052384369
Group Practice PAC ID
8022172162
Professional Enrollment ID
I20040816000682
Address ID
FL329313513CO333XXCSWY501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

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Provider Addresses for DR. MICHAEL PAUL WIDICK (MD)

  • 333, West Cocoa Beach Causeway, Cocoa Beach, Brevard County, Florida, 32931, United States

    SUITE B

    COCOA BEACH, FL 329313513

    Phone: (321) 799-9797

    Fax: (321) 799-3393

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $96.

Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: GENZYME CORPORATION ($55).

Total Amount

$96

General + Research + Ownership

Payments

4

Total payment records

General Amount

$96

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2004-08-16

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
I20040816000682IOtolaryngologyFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes916407$0
95165Professional service for preparation and provision of 1 or more antigens80012$0
69210Removal of impacted ear wax271182$0
31231Diagnostic exam of nasal passages using an endoscope20175$0
99203New patient office or other outpatient visit, 30-44 minutes182182$0
View full utilization report →

Insurance plans in this area (ZIP 32931)

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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: 8022172162View full group profile
NameSpecialtyState
Qualified AudiologistVA
-FL
Qualified AudiologistFL

Reviews

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Frequently asked questions

Is there an official ID for DR. MICHAEL PAUL WIDICK (MD) in U.S. healthcare records?
The official identifier for DR. MICHAEL PAUL WIDICK (MD) is NPI 1164420071.
Is DR. MICHAEL PAUL WIDICK (MD) shown as active in public data?
Registry records indicate DR. MICHAEL PAUL WIDICK (MD) maintains an active NPI.
What kind of doctor is DR. MICHAEL PAUL WIDICK (MD)?
DR. MICHAEL PAUL WIDICK (MD) is associated with Otolaryngology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is DR. MICHAEL PAUL WIDICK (MD) registered?
Use Cocoa Beach, Florida as the headline location for DR. MICHAEL PAUL WIDICK (MD) here.
Does DR. MICHAEL PAUL WIDICK (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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