DR. EDUARDO MIGUEL VIDAL (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1356327951
MOHS-Micrographic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
145 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in FL
Provider Addresses for DR. EDUARDO MIGUEL VIDAL (M.D.)
1450, 6th Street Southeast, Winter Haven, Polk County, Florida, 33880, United States
WINTER HAVEN, FL 338804505
Phone: (855) 353-7546
Fax: (863) 294-2767
Type: Mailing
931 S US HIGHWAY 41
INVERNESS, FL 344506860
Phone: (855) 353-7546
Fax: (352) 637-0788
Type: Location
700 SE 5th Ter Ste 7
Crystal River, FL 344294876
Phone: (855) 353-7546
Fax: (352) 364-9202
Type: Location
836 Highway 466
Lady Lake, FL 321593918
Phone: (855) 353-7546
Fax: (352) 775-4413
Type: Location
Walter Reed Army Medical Center
6900 Georgia Ave NW
Washington, DC 203070001
Phone: (202) 782-9480
Type: Location
1400 HAL GREER BLVD FL 2
HUNTINGTON, WV 257014114
Phone: (304) 691-1930
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $332.
Total Amount is formed as General ($332) + Research ($0) + Ownership ($0) = $332.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Organogenesis Inc. ($221).
Total Amount
$332
General + Research + Ownership
Payments
9
Total payment records
General Amount
$332
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $221 |
| ABBVIE INC. | $79 |
| Dermavant Sciences, Inc. | $31 |
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: 2025-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20200514001118 | I | Dermatology | FL | TBD |
| I20210423001876 | I | Dermatology | WV | TBD |
| I20240805002866 | I | Dermatology | OH | TBD |
| I20250221000707 | I | Dermatology | GA | TBD |
| I20251110002604 | I | Dermatology | MD | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 182 | 161 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 103 | 71 | $0 |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 71 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 29 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 37 | 32 | $0 |
Insurance plans in this area (ZIP 33880)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | IN | |
| Physician Assistant | OH |
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