DR. LUCY WARD ERTENBERG (M.D.) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1376697649
Hospice and Palliative Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. LUCY WARD ERTENBERG (M.D.)
Lane Park Road, Tavares, Lake County, Florida, 32778, United States
TAVARES, FL 327789648
Phone: (352) 742-6813
Fax: (352) 343-0325
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $87.
Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($87).
Total Amount
$87
General + Research + Ownership
Payments
1
Total payment records
General Amount
$87
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $87 |
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: 2019-06-25
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20091015000520 | I | Hospice/Palliative Care | FL | TBD |
| I20190625003527 | I | Family Practice | NC | 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 32778)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | LA | |
| Physician Assistant | NC | |
| Family Practice, Pain Management | NC | |
| Physician Assistant | NC | |
| Internal Medicine, Osteopathic Manipulative Medicine | NC | |
| Nurse Practitioner | NC | |
| Family Practice | SC | |
| Sports Medicine | MO |
Reviews
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