MRS. AUDREY FRIEDLAND FORD (PA-C) – Medical Physician Assistant, NPI 1376773697

MRS. AUDREY FRIEDLAND FORD (PA-C) is a healthcare provider. based in Tampa, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9105042 (FL). The NPI Number for MRS. AUDREY FRIEDLAND FORD (PA-C) is 1376773697

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AUDREY FRIEDLAND FORD (PA-C)
NPI
1376773697
Phone
(813) 333-1512
Address
4919 MEMORIAL HWY STE 150
Enumeration Date
21 July 2009
Last Update Date
31 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7277863810
Graduation Year
2009 (17 years ago)
PAC ID
7911053533
Group Practice PAC ID
4789758558
Professional Enrollment ID
I20090923000798
Address ID
FL346853493PA4197XPKWY300

Contacts

Secure Messaging
aford@dmp.emadirect.md
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MRS. AUDREY FRIEDLAND FORD (PA-C)

  • 4919 MEMORIAL HWY STE 150

    TAMPA, FL 336347516

    Phone: (813) 333-1512

    Fax: (813) 333-1561

    Type: Mailing

  • Woodlands Parkway, Palm Harbor, Pinellas County, Florida, 34677, United States

    PALM HARBOR, FL 346853493

    Phone: (727) 786-3810

    Fax: (727) 786-3855

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $1,020.

Total Amount is formed as General ($1,020) + Research ($0) + Ownership ($0) = $1,020.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($191).

Total Amount

$1,020

General + Research + Ownership

Payments

47

Total payment records

General Amount

$1,020

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2009-09-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090923000798IPhysician AssistantFLTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,882331$0
99213Established patient office or other outpatient visit, 20-29 minutes862645$0
17000Destruction of precancer skin growth, 1 growth617463$0
11102Biopsy of related skin growth, first growth501400$0
99214Established patient office or other outpatient visit, 30-39 minutes375282$0
View full utilization report →

Insurance plans in this area (ZIP 33634)

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Provider's Procedures

MRS. AUDREY FRIEDLAND FORD (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL11101Biopsy of each additional growth of skin and/or tissue165106
PHYSICIAN ASSISTANTFL17003Destruction of 2-14 skin growths922153

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: 4789758558View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
-FL
Physician AssistantFL
D E R M A T O L O G YFL
Nurse PractitionerFL
Physician AssistantFL
D E R M A T O L O G YFL
-FL

Reviews

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Frequently asked questions

How is MRS. AUDREY FRIEDLAND FORD (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MRS. AUDREY FRIEDLAND FORD (PA-C) with NPI 1376773697.
Is MRS. AUDREY FRIEDLAND FORD (PA-C) listed as active for patients and plans?
The listing shows MRS. AUDREY FRIEDLAND FORD (PA-C) as active in the NPI system.
What is MRS. AUDREY FRIEDLAND FORD (PA-C)'s specialty?
The listing groups MRS. AUDREY FRIEDLAND FORD (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MRS. AUDREY FRIEDLAND FORD (PA-C) serve?
MRS. AUDREY FRIEDLAND FORD (PA-C)'s listing highlights Tampa, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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