DR. WILLIAM MENDOZA (MD) – Emergency Medicine Physician, NPI 1225096787
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. WILLIAM MENDOZA (MD)
2725, Edgewater Drive, Niceville, Okaloosa County, Florida, 32578, United States
NICEVILLE, FL 325782310
Phone: (850) 897-9106
Fax: (850) 650-8820
Type: Mailing
Fort Walton Beach Medical Center, 1000, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States
FORT WALTON BEACH, FL 325476708
Phone: (850) 863-7607
Fax: (205) 437-5998
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-11-10
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 |
|---|---|---|---|---|
| I20211110001296 | I | Emergency Medicine | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 147 | 138 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 69 | 66 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 55 | 53 | $0 |
| 99291 | Critical care, first 30-74 minutes | 13 | 13 | $0 |
| 99282 | Emergency department visit with straightforward medical decision making | 12 | 12 | $0 |
Insurance plans in this area (ZIP 32578)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NV | |
| Emergency Medicine | FL | |
| Emergency Medicine | RI | |
| Emergency Medicine | GA | |
| - | FL | |
| Internal Medicine, Emergency Medicine | FL | |
| Emergency Medicine | FL | |
| Nurse Practitioner | FL | |
| Emergency Medicine | FL | |
| Emergency Medicine | FL |
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