MR. EARLE M JR. PESCATORE (D.O.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1336147693
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,538 OBSTETRICS/GYNECOLOGY in FL
Provider Addresses for MR. EARLE M JR. PESCATORE (D.O.)
2021, East Commercial Boulevard, Coral Hills, Fort Lauderdale, Broward County, Florida, 33308, United States
SUITE 305
FT LAUDERDALE, FL 333083763
Phone: (954) 734-1298
Type: Mailing
2021 E Commercial Blvd
Suite 305
Ft Lauderdale, FL 333083763
Phone: (954) 734-1298
Type: Location
770 W GRANADA BLVD STE 101
ORMOND BEACH, FL 321745179
Phone: (386) 231-4519
Fax: (386) 368-8927
Type: Mailing
61 MEMORIAL MEDICAL PKWY STE 3807
PALM COAST, FL 321645982
Phone: (386) 231-5386
Fax: (386) 359-2945
Type: Location
751 N Rutledge St
Springfield, IL 627024968
Phone: (217) 545-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $244.
Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Medtronic, Inc. ($178).
Total Amount
$244
General + Research + Ownership
Payments
5
Total payment records
General Amount
$244
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $178 |
| Axonics, Inc. | $65 |
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: 2020-02-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20041117000538 | I | Obstetrics/Gynecology | IL | TBD |
| I20110203000110 | I | Obstetrics/Gynecology | FL | TBD |
| I20170914003845 | I | Obstetrics/Gynecology | IA | TBD |
| I20200213000939 | I | Obstetrics/Gynecology | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 35 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 15 | 13 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 33308)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| Physician Assistant | IL | |
| Pulmonary Disease | IL | |
| D E R M A T O L O G Y | IL | |
| Vascular Surgery | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Physician Assistant | IL | |
| General Surgery | IL | |
| Nurse Practitioner | IL |
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