DR. PETER ANTHONY PANTERA (D.P.M.) – Foot Surgery Podiatrist, NPI 1184750358

DR. PETER ANTHONY PANTERA (D.P.M.) is a healthcare provider. based in Bonita springs, Florida. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. PO 2663 (FL). The NPI Number for DR. PETER ANTHONY PANTERA (D.P.M.) is 1184750358

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER ANTHONY PANTERA (D.P.M.)
NPI
1184750358
Phone
(239) 221-7079
Address
27149 LOST LAKE LN
Enumeration Date
24 February 2007
Last Update Date
12 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392607476
Graduation Year
1993 (33 years ago)
PAC ID
4789587668
Group Practice PAC ID
3173778925
Professional Enrollment ID
I20040128001056
Address ID
FL341093828NA3435XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for DR. PETER ANTHONY PANTERA (D.P.M.)

  • 27149 LOST LAKE LN

    BONITA SPRINGS, FL 341342635

    Phone: (239) 221-7079

    Fax: (239) 221-7079

    Type: Mailing

  • 3033 WINKLER AVENUE EXT

    FORT MYERS, FL 339169413

    Phone: (239) 939-3939

    Fax: (239) 939-7641

    Type: Location

  • 12301 LAKE UNDERHILL RD STE 215

    ORLANDO, FL 328284511

    Phone: (321) 235-0692

    Fax: (212) 350-6943

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ConvaTec Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ConvaTec Inc.$15
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: 2018-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040128001056IPodiatryFLTBD
I20180725000887IPodiatryTXTBD

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 34134)

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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: 3173778925View full group profile
NameSpecialtyState
P O D I A T R YFL
P O D I A T R YFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. PETER ANTHONY PANTERA (D.P.M.)?
DR. PETER ANTHONY PANTERA (D.P.M.) — NPI 1184750358 — is the standard way to identify this listing.
Can I rely on DR. PETER ANTHONY PANTERA (D.P.M.) being an active provider?
As of the registry snapshot, DR. PETER ANTHONY PANTERA (D.P.M.) is marked active.
What is DR. PETER ANTHONY PANTERA (D.P.M.)'s primary classification?
Foot Surgery Podiatrist is the headline specialty for DR. PETER ANTHONY PANTERA (D.P.M.) here. Clinical services aligned with this taxonomy classification.
What area does DR. PETER ANTHONY PANTERA (D.P.M.) serve?
DR. PETER ANTHONY PANTERA (D.P.M.)'s listing highlights Bonita Springs, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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