WILLIAM O TATUM (DO) – Epilepsy Physician, NPI 1396764122
Epilepsy Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
30 EPILEPTOLOGISTS in FL
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Provider Addresses for WILLIAM O TATUM (DO)
San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States
JACKSONVILLE, FL 322241865
Phone:
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 12 Open Payments records for all available years, with a total value of $13,780.
Total Amount is formed as General ($13,780) + Research ($0) + Ownership ($0) = $13,780.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Neurelis, Inc. ($12,874).
Total Amount
$13,780
General + Research + Ownership
Payments
12
Total payment records
General Amount
$13,780
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurelis, Inc. | $12,874 |
| LivaNova USA, Inc. | $417 |
| Zimmer Biomet Holdings, Inc. | $186 |
| Cadwell Industries, INC | $156 |
| NEUROPACE, INC. | $147 |
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: 2009-08-17
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 |
|---|---|---|---|---|
| I20090817000508 | I | Epileptologists | 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 |
|---|---|---|---|---|
| 95720 | Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional | 63 | 32 | $0 |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 47 | 45 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 29 | 24 | $0 |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 25 | 25 | $0 |
| 95813 | Measurement of brain wave activity (eeg), 61-119 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 32224)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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