LAERTES A MANUELIDIS (M.D.) – Procedural Dermatology Physician, NPI 1245220698
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Provider Addresses for LAERTES A MANUELIDIS (M.D.)
8381 RIVERWALK PARK BLVD
SUITE 101
FORT MYERS, FL 339198760
Phone: (239) 936-5425
Fax: (239) 936-5176
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 109 Open Payments records for all available years, with a total value of $71,538.
Total Amount is formed as General ($71,538) + Research ($0) + Ownership ($0) = $71,538.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($41,864).
Total Amount
$71,538
General + Research + Ownership
Payments
109
Total payment records
General Amount
$71,538
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sun Pharmaceutical Industries Inc. | $41,864 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $28,838 |
| Janssen Biotech, Inc. | $302 |
| UCB, Inc. | $197 |
| ABBVIE INC. | $176 |
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: 2004-08-16
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 |
|---|---|---|---|---|
| I20040816000997 | I | Dermatology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3245 | Injection, tildrakizumab, 1 mg | 12,500 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2,948 | 1,733 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,895 | 641 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2,860 | 1,702 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,503 | 1,054 | $0 |
Insurance plans in this area (ZIP 33919)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| P A T H O L O G Y | CA | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL |
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