PETRINE FARDETTE (PA C) – Surgical Physician Assistant, NPI 1205858719
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PETRINE FARDETTE (PA C)
3401 Pga Blvd
Suite 500
Palm Beach Gardens, FL 334102823
Phone: (561) 694-7776
Fax: (561) 776-8486
Type: Location
3000, Bayview Drive, Coral Ridge, Fort Lauderdale, Broward County, Florida, 33306, United States
FORT LAUDERDALE, FL 333061772
Phone: (954) 567-1332
Fax: (954) 537-7705
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $3,135.
Total Amount is formed as General ($3,135) + Research ($0) + Ownership ($0) = $3,135.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Merz North America, Inc. ($2,400).
Total Amount
$3,135
General + Research + Ownership
Payments
31
Total payment records
General Amount
$3,135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merz North America, Inc. | $2,400 |
| MERZ NORTH AMERICA, INC. | $396 |
| Boston Scientific Corporation | $191 |
| Abbott Laboratories | $148 |
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: 2004-02-09
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 |
|---|---|---|---|---|
| I20040209001052 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33410)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | FL | |
| Orthopedic Surgery | FL | |
| Physical Therapist In Private Practice | KY | |
| Orthopedic Surgery | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Physician Assistant | FL | |
| Physical Therapist In Private Practice | FL | |
| Physician Assistant | FL |
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