MR. THEODORE ANASTASIOS PANTARIDIS (PA-C) – Medical Physician Assistant, NPI 1376783548
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MR. THEODORE ANASTASIOS PANTARIDIS (PA-C)
11373 MISTY RIDGE WAY
BOYNTON BEACH, FL 334734896
Phone: (954) 292-4819
Type: Mailing
12067 BASIN ST W
WELLINGTON, FL 334145754
Phone: (561) 639-9580
Type: Mailing
5818 S DIXIE HWY
WEST PALM BEACH, FL 334053608
Phone: (561) 429-4779
Type: Location
11951 US Highway 1 Ste 108
North Palm Beach, FL 334082804
Phone: (561) 429-6109
Type: Location
3537 Forest Hill Blvd
West Palm Beach, FL 334065867
Phone: (561) 328-8433
Type: Location
Northeast 3rd Avenue, Delray Beach, Palm Beach County, Florida, 33444, United States
SUITE 104
DELRAY BEACH, FL 334443800
Phone: (561) 243-7612
Fax: (561) 243-7614
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2014-10-15
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 |
|---|---|---|---|---|
| I20141015002040 | 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 |
|---|---|---|---|---|
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 12 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 33473)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Emergency Medicine | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL |
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