MYRON RAE LINDLEY ST. LOUIS (MD) – Vascular Surgery Physician, NPI 1164636783

MYRON RAE LINDLEY ST. LOUIS (MD) is a healthcare provider. based in Sebring, Florida. specializing in VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. ME 107124 (FL). The NPI Number for MYRON RAE LINDLEY ST. LOUIS (MD) is 1164636783

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MYRON RAE LINDLEY ST. LOUIS (MD)
NPI
1164636783
Phone
(863) 385-1900
Address
4301 SUN N LAKE BLVD
Enumeration Date
10 May 2007
Last Update Date
23 August 2013

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
8633851900
Graduation Year
2001 (25 years ago)
PAC ID
8426189408
Group Practice PAC ID
0749232445
Professional Enrollment ID
I20100708000775
Address ID
FL338722138SE4301XBLVD502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

490 VASCULAR SURGERY in FL

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Provider Addresses for MYRON RAE LINDLEY ST. LOUIS (MD)

  • 4301, Sun 'N' Lakes Boulevard, Sun 'n Lake of Sebring, Sebring, Highlands County, Florida, 33872, United States

    SUITE 103

    SEBRING, FL 338722162

    Phone: (863) 385-1900

    Fax: (863) 385-9229

    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 20 Open Payments records for all available years, with a total value of $536.

Total Amount is formed as General ($536) + Research ($0) + Ownership ($0) = $536.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Boston Scientific Corporation ($116).

Total Amount

$536

General + Research + Ownership

Payments

20

Total payment records

General Amount

$536

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

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: 2010-07-08

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
I20100708000775IVascular SurgeryFLTBD

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 minutes169151$0
99203New patient office or other outpatient visit, 30-44 minutes105105$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes5754$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5149$0
93925Ultrasound of leg arteries or artery grafts5043$0
View full utilization report →

Insurance plans in this area (ZIP 33872)

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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: 0749232445View full group profile
NameSpecialtyState
-FL
-FL
-FL
Physician AssistantFL
-FL
General SurgeryNJ
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineFL
-FL
O T O L A R Y N G O L O G YFL
-FL

Reviews

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Frequently asked questions

Is there an official ID for MYRON RAE LINDLEY ST. LOUIS (MD) in U.S. healthcare records?
The official identifier for MYRON RAE LINDLEY ST. LOUIS (MD) is NPI 1164636783.
Active or inactive — what applies to MYRON RAE LINDLEY ST. LOUIS (MD)?
You should see MYRON RAE LINDLEY ST. LOUIS (MD) as active in CMS-hosted NPPES data.
How would a patient describe MYRON RAE LINDLEY ST. LOUIS (MD)'s focus?
For MYRON RAE LINDLEY ST. LOUIS (MD), the primary taxonomy reads as Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Is MYRON RAE LINDLEY ST. LOUIS (MD) located near Sebring?
MYRON RAE LINDLEY ST. LOUIS (MD) currently maps to Sebring, Florida in this extract.
When was this NPI issued?
Enumeration for MYRON RAE LINDLEY ST. LOUIS (MD) is noted as May 10, 2007 where the registry provides it.