DR. EDWARD J KILLEEN (M.D.) – Geriatric Psychiatry Physician, NPI 1376578336
Geriatric Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,953 PSYCHIATRY in FL
Provider Addresses for DR. EDWARD J KILLEEN (M.D.)
2033 Wood St Ste 220
Sarasota, FL 342377927
Phone: (941) 677-3366
Fax: (941) 677-3367
Type: Location
Building K, 2789, Ortiz Avenue, SalusCare - Ortiz Campus, The Forum, Fort Myers, Lee County, Florida, 33905, United States
FORT MYERS, FL 339057806
Phone: (239) 275-3222
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $921.
Total Amount is formed as General ($921) + Research ($0) + Ownership ($0) = $921.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($164).
Total Amount
$921
General + Research + Ownership
Payments
36
Total payment records
General Amount
$921
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-10-04
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 |
|---|---|---|---|---|
| I20101004000082 | I | Psychiatry | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34237)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | NJ | |
| Clinical Social Worker | FL | |
| Clinical Psychologist | NJ | |
| Mental Health Counselor | FL | |
| Mental Health Counselor | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| Clinical Social Worker | NJ | |
| - | FL | |
| Mental Health Counselor | NJ |
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