JAMES L III MCMULLAN (PAC) – Physician Assistant, NPI 1366407348
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for JAMES L III MCMULLAN (PAC)
8057 SPYGLASS HILL RD
SUITE 102
MELBOURNE, FL 329408565
Phone: (321) 435-3500
Fax: (321) 435-3501
Type: Location
930, South Harbor City Boulevard, Melbourne, Brevard County, Florida, 32901, United States
MELBOURNE, FL 32901
Phone: (321) 725-5050
Fax: (321) 725-9100
Type: Mailing
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.
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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: 2010-08-13
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 |
|---|---|---|---|---|
| I20100813000361 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,037 | 493 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 651 | 346 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 325 | 277 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 240 | 196 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 115 | 71 | $0 |
Insurance plans in this area (ZIP 32940)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Internal Medicine | FL | |
| Internal Medicine | FL | |
| Family Practice | LA | |
| Internal Medicine | FL | |
| Family Practice, Addiction Medicine | FL | |
| Nurse Practitioner | WA | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL |
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