DR. SAMANTHA R AVERY (D.O.) – Cardiovascular Disease Physician, NPI 1215178090
Cardiovascular Disease Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
Provider Addresses for DR. SAMANTHA R AVERY (D.O.)
1615 PASADENA AVE S STE 300
SOUTH PASADENA, FL 337074567
Phone: (727) 490-3030
Fax: (866) 200-9885
Type: Mailing
4560 7TH AVE N
ST PETERSBURG, FL 337136218
Phone: (407) 719-3370
Fax: (917) 831-4677
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-01-05 • Largest payer in this snapshot: Abbott Laboratories ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $14 |
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: 2025-10-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 10 Medicare enrollment records; no due dates published yet.
Enrollment records
10
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 |
|---|---|---|---|---|
| I20140602001029 | I | Cardiovascular Disease (Cardiology) | FL | TBD |
| I20230331002692 | I | Cardiovascular Disease (Cardiology) | CO | TBD |
| I20230531001671 | I | Cardiovascular Disease (Cardiology) | CA | TBD |
| I20230622003161 | I | Cardiovascular Disease (Cardiology) | IN | TBD |
| I20230630002288 | I | Cardiovascular Disease (Cardiology) | OH | TBD |
| I20231121000782 | I | Cardiovascular Disease (Cardiology) | PA | TBD |
| I20241127001120 | I | Cardiovascular Disease (Cardiology) | SC | TBD |
| I20250806000382 | I | Cardiovascular Disease (Cardiology) | NJ | TBD |
| I20251002004310 | I | Cardiovascular Disease (Cardiology) | CT | TBD |
| I20251009002963 | I | Cardiovascular Disease (Cardiology) | NC | 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 33707)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | FL | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 40 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| - | KY | |
| H E M A T O L O G Y/ O N C O L O G Y | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| - | IN |
Reviews
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