YELENA VIDGOP (MD) – Neurology Physician, NPI 1336300771

YELENA VIDGOP (MD) is a healthcare provider. based in Fort myers, Florida. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 4301114222 (MI). The NPI Number for YELENA VIDGOP (MD) is 1336300771

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
YELENA VIDGOP (MD)
NPI
1336300771
Phone
(239) 208-2212
Address
11215 METRO PKWY STE 1
Enumeration Date
18 June 2008
Last Update Date
16 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2394365100
Graduation Year
2006 (20 years ago)
PAC ID
0941444095
Group Practice PAC ID
9436139565
Professional Enrollment ID
I20130911000807
Address ID
FL341025754NA350XXNXXX402
Telehealth
Yes

Contacts

Secure Messaging
yvidgop602454@direct.ketteringhealth.org
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness95
Years active:17State licenses:13Other names

1,530 NEUROLOGY in PA

Provider Addresses for YELENA VIDGOP (MD)

  • 11215 METRO PKWY STE 1

    FORT MYERS, FL 339661206

    Phone: (239) 208-2212

    Fax: (239) 208-3994

    Type: Mailing

  • 1250 S Cedar Crest Blvd Ste 405

    Allentown, PA 181036224

    Phone: (610) 402-8420

    Type: Location

  • 9110 COLLEGE POINTE CT

    FORT MYERS, FL 339193244

    Phone: (239) 208-2212

    Fax: (239) 208-3994

    Type: Mailing

  • 21097 NE 27TH CT STE 540

    AVENTURA, FL 331801235

    Phone: (786) 623-2000

    Type: Location

  • 172 Kinsley St

    Nashua, NH 030603648

    Phone: (603) 882-3000

    Fax: (603) 889-3774

    Type: Location

  • 630 Eaton Ave

    Hamilton, OH 450132767

    Phone: (513) 867-2000

    Fax: (513) 867-2119

    Type: Location

  • 2790 Clay Edwards Dr Ste 1235

    North Kansas City, MO 641163276

    Phone: (816) 472-5157

    Fax: (816) 472-7201

    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: 2023-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 14 Medicare enrollment records; no due dates published yet.

Enrollment records

14

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
I20130911000807INeurologyFLTBD
I20180612002037INeurologyNDTBD
I20180717002142INeurologyORTBD
I20180720000946INeurologyWATBD
I20190110001200INeurologyAZTBD
I20190116003065INeurologyNHTBD
I20190515002193INeurologyMITBD
I20200121000380INeurologyMTTBD
I20200430002052INeurologyNYTBD
I20200618000686INeurologyIATBD
I20200928001489INeurologyGATBD
I20220915002838INeurologyKYTBD
I20230227002900INeurologyPATBD
I20231013001753INeurologyMOTBD

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
G0508Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth5151$0
G0425Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth2626$0
View full utilization report →

Insurance plans in this area (ZIP 33966)

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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: 9436139565View full group profile
NameSpecialtyState
Family PracticeFL
-OH
-FL
H O S P I T A L I S TFL
-FL
Cardiovascular Disease (Cardiology)MN
Cardiovascular Disease (Cardiology)FL
Diagnostic RadiologyNC
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

What is the registry number for YELENA VIDGOP (MD)?
The registry entry for YELENA VIDGOP (MD) shows NPI 1336300771.
Is YELENA VIDGOP (MD)'s NPI status active today?
Active status means YELENA VIDGOP (MD)'s NPI record is not deactivated in the public file.
What services align with YELENA VIDGOP (MD)'s listing?
YELENA VIDGOP (MD)'s public classification highlights Neurology Physician. Clinical services aligned with this taxonomy classification.
Is YELENA VIDGOP (MD) tied to Fort Myers, Florida?
If you are local to Fort Myers, Florida, YELENA VIDGOP (MD) may be relevant to your search.
Why is information missing for YELENA VIDGOP (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.