DAVID VINH DEGENHARDT (DO) – Emergency Medicine Physician, NPI 1225065824

DAVID VINH DEGENHARDT (DO) is a healthcare provider. based in Lutz, Florida. specializing in Emergency Medicine Physician. They hold the professional credentials DO. They hold a License No. OS11896 (FL). The NPI Number for DAVID VINH DEGENHARDT (DO) is 1225065824

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DAVID VINH DEGENHARDT (DO)
NPI
1225065824
Phone
(813) 455-1762
Address
18607 AVENUE MONACO
Enumeration Date
27 June 2006
Last Update Date
4 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7273130753
Graduation Year
2001 (25 years ago)
PAC ID
7214951193
Group Practice PAC ID
1951668458
Professional Enrollment ID
I20121005000595
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DAVID VINH DEGENHARDT (DO)

  • 18607 AVENUE MONACO

    LUTZ, FL 335585316

    Phone: (813) 455-1762

    Type: Mailing

  • 1 PARK PLZ

    NASHVILLE, TN 372036527

    Phone: (615) 344-9551

    Type: Mailing

  • 105, Havell Street, Mariandale, Ossining, Town of Ossining, Westchester, New York, 10562, United States

    OSSINING, NY 105623458

    Phone: (864) 434-2244

    Type: Mailing

  • 1 PLAZA DR

    NASHVILLE, TN 37203

    Phone: (615) 344-9551

    Type: Location

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 $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-01-23 • Largest payer in this snapshot: CSL Behring ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$23
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: 2012-10-05

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
I20121005000595IEmergency MedicineFLTBD

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
99284Emergency department visit with moderate level of medical decision making5652$0
99285Emergency department visit with high level of medical decision making2826$0
99283Emergency department visit with low level of medical decision making1818$0
View full utilization report →

Insurance plans in this area (ZIP 33558)

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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: 1951668458View full group profile

Reviews

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Frequently asked questions

How is DAVID VINH DEGENHARDT (DO) identified in CMS data?
CMS-hosted NPPES data lists DAVID VINH DEGENHARDT (DO) with NPI 1225065824.
Does CMS list DAVID VINH DEGENHARDT (DO) as active?
Yes — DAVID VINH DEGENHARDT (DO) is active in the NPI listing used on this page.
What is DAVID VINH DEGENHARDT (DO)'s specialty?
The listing groups DAVID VINH DEGENHARDT (DO) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DAVID VINH DEGENHARDT (DO) serve?
DAVID VINH DEGENHARDT (DO)'s listing highlights Lutz, Florida; more addresses can appear in NPPES.
Is the information about DAVID VINH DEGENHARDT (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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